Capital Health Plan

Program Location: 
Tallahassee, FL
Payer Type: 
Florida Blue

Reported Outcomes


Capital Health Plan (CHP) is a not-for-profit, single-site, mixed-model health maintenance organization. Tallahassee Memorial Hospital (TMH), located in Tallahassee, Florida, is a 770-bed acute care and extended care not-for-profit hospital that is part of Tallahassee Memorial HealthCare. 

Using sophisticated diagnosis-based software, the health plan identified its sickest patients, and then, with the permission of their primary care physicians, contacted these patients and offered them a spot in the new clinic. Called the Center for Chronic Care, the clinic is designed specifically for patients with multiple chronic conditions who don’t fit neatly into existing programs for single diagnoses such as diabetes or congestive heart failure. 
Fewer ED / Hospital Visits: 
  • 40% reduction in inpatient hospital days 
  • 37% reduction in ED visits 
Improved Access: 
  • 250% increae in primary care visits 
Cost Savings: 
  • 18% reduction in health care claim costs 
Other Outcomes: 
  • Pharmacy costs increased 22 percent
Last updated September 2014
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