Care management improves total cost of care for patients with dementia.
| Autor: | Sawyer RJ 2nd; 1514 Jefferson Hwy, New Orleans, LA 70121. Email: robert.sawyer@ochsner.org., Pereira Osorio C, Sharma S, Brickell E |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of managed care [Am J Manag Care] 2024 Aug; Vol. 30 (8), pp. 353-358. |
| DOI: | 10.37765/ajmc.2024.89559 |
| Abstrakt: | Objectives: To examine a 12-month dementia care management program's effect on health care cost, utilization, and overall return on investment in a Medicare managed care population. Study Design: Pre-post analysis of participants (n = 121) enrolled in Ochsner's Care Ecosystem program from 2019 through 2021 compared with propensity-matched controls (n = 121). The primary outcome comparison was total cost of care. Secondary outcomes included components of total cost of care (eg, inpatient, outpatient, emergency department [ED] costs), health care utilization (eg, number of ED visits), and differences in Hierarchical Condition Category (HCC) risk scores. Methods: Difference-in-differences analyses were conducted from baseline through 12 months comparing various financial metrics and utilization between groups. Results: Care Ecosystem participants had significantly lower total cost of care at 12 months, mean savings of $475.80 per member per month compared with controls. Care Ecosystem participants had fewer ED, outpatient, and professional visits. HCC risk scores were also better relative to matched controls. Conclusions: A collaborative dementia care program demonstrated significant financial benefit in a managed Medicare population. |
| Databáze: | MEDLINE |
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