Jeffrey Palmer

Ashoka Fellow
United States,
Fellow Since 2003


This profile was prepared when Jeff Palmer was elected to the Ashoka Fellowship in 2003.
The New Idea
In 2000 Jeff created an innovative system specifically tailored for poor and underserved populations that identifies high-risk patients and gets them into preventive care before their situations end in tragedy or needless suffering. As a result, Jeff is generating large, system-wide cost savings that are reallocated for the care of the uninsured.

Jeff's Coordinated Care Network (CCN) model ensures that low-income citizens receive preventive healthcare through local institutions that the community already knows. Then, citizens' health needs are diagnosed and addressed early on. With this intervention, significant savings accrue for public and private health service providers and HMOs.

Through proprietary claims surveillance and health risk assessment techniques, CCN prospectively identifies patients who are at greatest risk for expensive health problems. CCN then preemptively enrolls them in its management program, envelops the clients in preventive services, thus avoiding the health complications that would have otherwise occurred. In so doing, it reduces costs to the "system" by 20 to 40 percent. In consideration of these services, the HMO pays CCN a fee and 50 percent of the savings created, plus improved health outcomes for uninsured and semi-insured.

Jeff's CCN also enables a proprietary physician dispensing system, a central pharmacy/mail order facility, and the 340B drug discount program. Jeff sells these services to the region's six major health insurance carriers and 44 regional health centers. The value to the carriers is paying 20 to 30 percent less for medications and members get their prescriptions filled more conveniently. Health centers can capture a new profitable revenue stream from prescription reimbursements, and patients regain health faster.

Jeff's revenue-generating activity supports the services of the nonprofit health care providers in his network. Jeff's idea has already spread across Pennsylvania; and now other states like New Mexico have asked him to implement his model.
The Problem
The Strategy
The Person

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