During May, Blue Shield of California’s popular Landmark Program marked two years of providing home-based medical care to Blue Shield and Blue Shield Promise members with complex health issues and multiple chronic conditions. During its second year, Landmark expanded geographically in three markets, increased participation and received consistently high member-satisfaction ratings.
“Since the program launched in April 2018, we’ve been pleased with the results we’ve seen for our chronically ill members who benefit from Landmark’s vital in-home services,” said Nancy Wei, Blue Shield’s program manager.
In first quarter 2020, Landmark added new service areas in outer Sacramento, where eligible members were already participating, and expanded into Ventura and Oxnard.
To date, more than 5,200 members have enrolled in the Landmark Program, with women comprising 53 percent of participants and men, 47 percent. Medicare members account for 69 percent of participants, with Commercial members at 10 percent and Medi-Cal members at 21 percent. Members use Landmark’s in-home and 24/7 phone access to care for medical, behavioral, and social support services as well as urgent and post-discharge care.
During the past year, the top chronic conditions for members supported in the Landmark Program included atrial fibrillation, cancer, chronic kidney disease, coronary heart disease, dementia, depression, diabetes, heart failure and hypertension.
Members Resoundingly Approve of the Program
Landmark’s patient-satisfaction survey results have remained consistently high:
- 98 percent of Blue Shield participants rate Landmark home provider service as excellent, very good or good
- 92 percent of Blue Shield participants report that Landmark helped them stay out of the hospital
- 96 percent of Blue Shield participants report that Landmark has improved their satisfaction with Blue Shield
One 95-year old member, who declined to give his name, potentially has avoided six hospitalizations since engaging with Landmark, which has been especially important during the current COVID-19 pandemic. He was evaluated by his Landmark provider during multiple urgent visits at his assisted living facility. All visits, treatments and follow-ups were handled by Landmark in coordination with his PCP, without the patient leaving the safety of his room. Both the member and his son feel relieved that they don’t have to go as often to the emergency room or hospital because of Landmark.