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Am J Hosp Palliat Care. 2015 May;32(3):350-6. doi: 10.1177/1049909114523827. Epub 2014 Feb 21.

Cost analysis of a novel interdisciplinary model for advanced illness management.

Author information

1
School of Social Work, Wayne State University, Detroit, MI, USA bb2938@wayne.edu.
2
School of Social Work, Wayne State University, Detroit, MI, USA.
3
Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.

Abstract

PURPOSE:

This research project evaluated cost outcomes for patients in the @HOMe Support program, a novel interdisciplinary home-based program for patients and caregivers facing advanced illness drawing on the Chronic Care Model.

METHODS:

Cost analysis involved paired sample t-tests to examine pre-post differences in health care expenditures obtained from Health Maintenance Organization (HMO) claims data for program participants.

RESULTS:

Average 6-month costs per month significantly declined for patients older than 65 years of age from 1 HMO (US$9300-US$5900, P = .001). Evaluation of the second HMO showed that patients less than 65 years of age with lower preentry costs (<70 000) had a nonsignificant decline in total costs (US$18 787-US$13 781, P = .08).

CONCLUSIONS:

Study findings suggest @HOMe Support is associated with reductions in the use and cost for most health services over time.

KEYWORDS:

advanced illness management; caregiver; chronic care; cost analysis; hospice; palliative care

PMID:
24563027
DOI:
10.1177/1049909114523827
[Indexed for MEDLINE]

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