Boeing Intensive Outpatient Care Program

Program Location: 
Seattle, WA
Payer Type: 
Partner Organizations: 
Mercer Health and Benefits
Renaissance Health
California HealthCare Foundation
Regence Blue Cross Blue Shield

Reported Outcomes


The Boeing IOCP pilot ran from January 2007 through July 2009. The program enrolled employees and pre-Medicare retirees and their adult spouses, who participated in Boeing’s self-funded, non-HMO medical plans. The project was designed by Mercer Health and Benefits and clinically managed by Renaissance Health, in partnership with Regence BlueShield of Washington, Healthways, ValueOptions, and leaders of three physician groups. Boeing incentivized the groups via a monthly per patient fee to test a new, judiciously intensified chronic care model, the “ambulatory intensive caring unit” (A-ICU).  Designed to both lower per capita spending and improve quality by a national team of clinicians and systems engineers familiar with high quality, low-cost care systems, A-ICU model development was coordinated by Mercer with support from the California HealthCare Foundation. 

By delivering highly personalized, coordinated care, the program aimed to improve health and employee productivity, increase patient and provider satisfaction and reduce overall costs. Employees in the program received 24/7 access to a care team and a personal registered nurse that worked with the member to develop an integrated care plan. Regence provided patient claims history back to providers to help identify gaps in care and target interventions.

According to the Commonwealth Fund, the Boeing IOCP effort ended in July 2009, but the company is working to replicate it on a broader basis in collaboration with other purchasers and health plans. Efforts are underway to assess expansion opportunities in the St. Louis and southern California markets where Boeing has a high concentration of employees. Regence began expanding the effort in Seattle in November 2010.

Related News & Resources

Payment Model: 

Monthly per capita fees were paid to physician groups for primary care intensification.

Fewer ED / Hospital Visits: 
  • Reduced hospital admissions by 28%
Improved Health: 
  • 16.1 % increased improvement in mental functioning of pilot participants
Improved Access: 
  • 17.6% increase in participants feeling that care was “received as soon as needed”
Cost Savings: 
  • reduced health care costs of pilot participants 20% versus control group

Other Outcomes: 
  • 56.5% decrease in average number of patient - -reported workdays missed, 6 months
Last updated July 2014
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