SuperCare Health’s Home Sleep Management (HSM) Program

Sleep-Apnea

Overview

SuperCare Health was able to provide a cost savings of approximately 34% by collaborating with Healthcare Partners on a home sleep testing (HST) program that did not require a facility-based sleep lab and yielded comparable diagnostic results. For select patients, home sleep testing through SuperCare Health’s Home Sleep Management (HSM) Program was feasible to aid in diagnosing obstructive sleep apnea, which offers the key benefits of patient convenience and provider cost savings.

An estimated 40 million Americans suffer from a chronic sleep disorder, and sleep loss issues contribute to an estimated $18 billion cost in lost productivity (1). Sleep studies are an important diagnostic tool to help identify and address the patient’s health concerns. Conducting them in a lab has been the most traditional method of testing, but home testing is establishing itself as a viable alternative (2).

HealthCare Partners and SuperCare Health implemented the 2-year pilot Home Sleep Management Program to examine the viability and efficiency of home sleep testing. Additionally, the HSM Program would evaluate projected total savings of conducting HST versus traditional sleep lab studies.

Program Highlights

Beginning in 2012, SuperCare Health began providing high-tech, Medicare-approved HST devices for home testing, which were then provided to eligible HealthCare Partners members who enrolled in the HSM Program. Over the pilot period, SuperCare Health, together with Healthcare Partners developed a clinical protocol to identify candidates for the program.  Once identified, patients were tested and results were reviewed by SuperCare Health’s board certified contracted physicians. Qualifying patients were treated with auto-CPAP therapy to fulfill the titrating process typically performed in a lab.

After home testing, the patient is contacted by HealthCare Partners physicians for confirmation of diagnosis and treatment planning. Routine follow-up was conducted by SuperCare Health’s Clinical Care Coaches to educate and ensure patient adherence to the HealthCare Partners’ therapy plan.

Data captured from Q2 2012 through Q3 2014, demonstrated a total of 1,749 eligible patients were identified to undergo sleep testing. A portion of the eligible patients’ tests were conducted in the traditional sleep lab due to patient condition or other factors.  Approximately 52% of patients met the HCP clinical criteria and underwent home sleep testing.

Patients who participated in the Home Sleep Management Program expressed gratitude for the ability to sleep in their own homes. Many cited their overall discomfort with trying to sleep in unfamiliar surroundings as the main draw for home testing, providing for more accurate due to the fact the patient is being evaluated in a more normalized setting.

Outcomes

Overall, the initial outcomes appear to have a positive impact for all parties involved.  Some program outcome highlights include:

  • Over the course of the HSM Program pilot study, home sleep testing reduced costs 34% on average compared to traditional sleep lab testing. With the patients enrolled in the HSM Program who were able to conduct home sleep testing, Healthcare Partners realized nearly half a million dollars in savings.
  • Healthcare Partners calculated a 32% reduction in in their Cost PMPM by the end of the second year of the HSM Program.
  • Over 80% of patients identified by Healthcare Partners for the HSM Program followed through with home sleep testing, a higher follow through rate than observed by HCP in those patients who chose the similarly-based sleep lab setting.
  • A conservative estimate projects upon full implementation, nearly 500 patients per month would be eligible for the Home Sleep Management Program, and based on results from the pilot study, the compounded savings over the course of a full year would be well over $1.5 million.