The Hotspotting Program

A value-based care program for opioid use disorder treatment and prevention.

Hotspotting the Overdose Epidemic implements a predictive data analytics system to identify community members most at risk of suffering from an overdose. The program then seeks to both prevent these individuals from overdosing as well as deliver overall value to health systems by deploying both an innovative reimbursement model and dedicated peer led care coordination efforts.

“The SI PPS is a very innovative program that partners with MIT to identify those at highest risk of an overdose and provide them with care when they need it most.”

Senate Majority Leader Chuck Schumer

Predictive Analytics

Utilizing a predictive analytics model developed by SI PPS and MIT, participating partner organizations will employ a proactive care management treatment model to treat those most at-risk before an overdose, not after, many of whom have been inadequately engaged in care, have left treatment programs or have been impacted by system wide issues such as a lack of access to in-person services.

Person-Centered Care Management Model

The program staffing model utilizes peer-led engagement, paired with trained clinicians to deliver person-centered services to at-risk individuals ‘where they are’ in a safe and collaborative manner.

Innovative Reimbursement Paradigm

The program also integrates an innovative care management reimbursement model for partners which will combine an engagement focused per member per month rate alongside a performance incentive payment
attached to quality indicators like treatment
re-engagement after an overdose.