HealthVine 2024 Facts and Figures
Introduction
HealthVine, Cincinnati Children's pediatric accountable care organization, uses collaboration and creativity to connect our primary care and behavioral health partners to youth and their families. During 2024, just three years since its launch, HealthVine has experienced a period of significant expansion and innovation, driven by its strategic partnerships and enhanced care systems. Our commitment to improving outcomes is evident through our initiatives, collaborations, and care expertise. As we reflect on this year's achievements, we invite you to explore the milestones we've reached and the exciting initiatives ahead in 2025.
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Growth and Innovation
Expanding Partnerships
New Payors Added
We welcomed AmeriHealth, Anthem and Humana as HealthVine payors, increasing our member population by approximately 28,000 lives. This brings our total membership to more than 127,000. Looking ahead, we aim to expand payor contracts and extend coverage further in 2025.
Enhancing Technology
Epic Tapestry Integration
Our Utilization Management team has successfully transitioned to managing all prior authorizations for HealthVine members through Epic Tapestry. This new, integrated system within Epic simplifies and streamlines the prior authorization process, improving efficiency for providers and patients.
Online Referral Form Launch
To increase access to HealthVine resources, we introduced our first-ever online referral form. In its inaugural year, the form received over 200 referrals, proving its impact in connecting members to the care and support they need.
Improving Care Systems
Telehealth Distribution
During 2024, HealthVine distributed and trained families on TytoCare and CincyKids Health Connect - a device and website that enable families to have virtual telehealth appointments. The usage of these devices have led to an estimated:
- $142,884 cost savings (based on avoided emergency department/urgent care visit costs minus virtual visit expenses)
- 162 avoided Emergency Department visits
- 972 avoided Urgent Care visits
- 48 avoided In-Person visits
Behavioral Health Access
In partnership with local behavioral health organizations, HealthVine OhioRISE leveraged data insights to expand Mobile Response and Stabilization Services (MRSS), Intensive Home-Based Treatment (IHBT), and Respite services in underserved areas, improving access to critical behavioral health resources.
The HealthVine Population
Membership
HealthVine's payor expansion to add AmeriHealth, Anthem and Humana has significantly increased the number of HealthVine members in our population.
HealthVine Members
Members enrolled in HealthVine Care Management
Members engaged in HealthVine OhioRISE Care Coordination
Geography
HealthVine continues to serve the following counties in Southwest Ohio, with the majority of our members in Hamilton county.
HealthVine Care Management Membership by County
Hamilton
Butler
Clermont, Warren, Highland, Clinton, Brown, Adams
HealthVine OhioRISE Membership by County
Hamilton
Clermont
Scioto, Adams, Lawrence, Brown
Race and Ethnicity
White
Black or African American
Asian, Middle Eastern, Native Hawaiian and Pacific Islander, American Indian and Alaska Native, and Other
Engagement
HealthVine Care Management
Member outreaches
57% increase from 2023
Health Risk Assessments (HRAs)
58% increase from 2023
Members enrolled in Care Management
106% increase from 2023
HealthVine Utilization Management
Cases reviewed in 2024
Cases reviewed in Epic Tapestry
Turn-Around Time compliance
HealthVine OhioRISE
Member engagement rate
Flex fund dollars used to support OhioRISE members
Members engaged in HealthVine OhioRISE Care Coordination
HealthVine OhioRISE Awarded Highest Engagement Rate
HealthVine OhioRISE member engagement rate rose to 99% in 2024 and has not fallen below 92%. In honor of this achievement, Aetna recognized HealthVine OhioRISE with an award in November 2024 for having the highest engagement rate of all Care Management Entities. This success highlights our team's ability to build and maintain rapport with families, system partners and communities.
Partnerships
Our relationships with our partners are key to ensuring our members get the care they need to live well and thrive. They also help amplify the important work of each organization. In 2025, we look forward to expanding our partnerships through our new value-based agreements.
Primary Care Organizations
Behavioral Health Organizations
Community Outreach
HealthVine continues to be an active part of the community and engage with the members we serve. Our team attends and volunteers at community events to build relationships and give back to those who need it most, focusing on aligning our volunteer work with agencies who support HealthVine members.
Families served through five produce pop-up shops, in partnership with the Freestore Foodbank
Community events attended, including health fairs, school events, food drives, and many more
On the Horizon
As we celebrate another successful year, HealthVine remains committed to driving innovation, expanding access and improving care in the communities we serve. In 2025, we look forward to further growth through new payor partnerships and expanding relationships with our primary care, behavioral health and subspecialty partners. These partnerships will help to proactively manage care upstream, ensuring that youth and their families receive high-quality, cost-effective care in the settings that best meet their needs. Together, with our network, we will continue to make a meaningful impact on the health and well-being of those we serve.