EVALUATION OF THE COSTS FOR VETERANS RECEIVING CARE IN GERIATRIC MEDICAL HOMES (GERIPACT)
| Autor: | Winifred Scott, Richard M. Allman, Bruce Kinosian, Kenneth Shay, Dally S, Orna Intrator, Ciaran S. Phibbs |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
03 medical and health sciences
medicine.medical_specialty Abstracts 0302 clinical medicine Health (social science) business.industry Family medicine Medicine 030212 general & internal medicine Life-span and Life-course Studies business Health Professions (miscellaneous) 030217 neurology & neurosurgery |
| Popis: | VA Office of Geriatrics & Extended Care established Geriatric Patient-Aligned Care teams (GeriPACT) with team members (pharmacy, and social work) added to the panels, and panels 2/3 the size of most VA primary care teams, to better manage aged and frail Veterans. We evaluated GeriPACT effect on expenditures among Veterans with >2 diagnoses based self-care capacity limitations (JEN Frailty Index, JFI>2) cared for at 84 VA facilities. NOSOS, a refinement of Medicare’s HCC model, was used to predict expenditures. Regressions estimated effect of GeriPACT on log expenditures, comparing GeriPACT Veterans to propensity score-matched Veterans receiving regular care. Management by GeriPACT was associated with significantly lower combined VA and Medicare expenditures: 14% less for JFI>2, 8% for JFI>5 and 13% for JFI 3–6. VA expenditures alone had associated savings of 12%, 6%, and 11%, respectively. GeriPACT reduces costs, especially when targeted at appropriate patients, e.g., those with JFI 3–6. |
| Databáze: | OpenAIRE |
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