The CHAP demonstration project began in Kent County in July 2008 to improve health outcomes of children on Medicaid while making better use of existing resources and decreasing costs. The program now serves adults and children under the Community Healthcare Access Program.
What are the Key Accomplishments from the CHAP pilot?
An independent evaluation of the CHAP demonstration phase, conducted by SRA International, was released in August 2012.
CHAP addresses all aspects of the “three part aim:” better health outcomes, better health care, and reduction in the total cost of care.
- At the practice level, emergency department visits declined 5% to 15% over the course of the project, compared to the baseline year.
- Among CHAP clients (those receiving at least one CHAP support service) age 1 to 5, emergency department visits declined 43%; among CHAP clients age 1 to 17, ED visits declined by 35%.
- When looking at benefits over a two year period, the social benefits of CHAP exceeded the costs by 53% — a return of $1.53 for every $1 invested
Participating practices significantly improved the quality and consistency of asthma care by
- 23% increase in the number of children receiving CHAP asthma services who had an asthma action plan
- 54% increase in the number of children who improved their scores on an asthma control test to acceptable levels
- 50% decrease in exposure to tobacco smoke in their home environment among children receiving CHAP asthma services
- 78% decrease in the average number of school days missed due to asthma by children receiving CHAP services
For additional information about our work please see our CHAP demonstration pilot evaluation report: