Effects of home-based primary care on Medicare costs in high-risk elders.
Effects of home-based primary care on Medicare costs in high-risk elders.
Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006
CONCLUSION: HBPC reduces Medicare costs for ill elders, with similar survival outcomes in cases and controls.Copyright � 2014 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society. DESIGN: Case-control concurrent study using Medicare administrative data. INTERVENTION: HBPC clinical service. MEASUREMENTS: Medicare costs, utilization events, mortality. OBJECTIVES: To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. PARTICIPANTS: HBPC cases (n = 722) and controls (n = 2, 161) matched for sex, age bands, race, Medicare buy-in status (whether Medicaid covers Part B premiums), long-term nursing home status, cognitive impairment, and frailty. Cases were eligible if enrolled in MedStar Washington Hospital Center's HBPC program during 2004 to 2008. Controls were selected from Washington, District of Columbia, and urban counties in Virginia, Maryland, and Pennsylvania. , 144 vs. RESULTS: Mean age was 83.7 for cases and 82.0 for controls (P < .001). A majority of both groups was female (77%) and African American (90%). During a mean 2-year follow-up, in univariate analysis, cases had lower Medicare ( SETTING: HBPC practice in Washington, District of Columbia.
English
0002-8614
*Frail Elderly
*Home Care Services/ec [Economics]
*Medicare/ec [Economics]
*Primary Health Care/ec [Economics]
Aged
Aged, 80 and over
Case-Control Studies
Female
Follow-Up Studies
Humans
Male
Mortality
Multivariate Analysis
United States
Urban Health Services/ec [Economics]
MedStar Washington Hospital Center
Medicine/Geriatrics
Journal Article
Research Support, Non-U.S. Gov't
Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006
CONCLUSION: HBPC reduces Medicare costs for ill elders, with similar survival outcomes in cases and controls.Copyright � 2014 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society. DESIGN: Case-control concurrent study using Medicare administrative data. INTERVENTION: HBPC clinical service. MEASUREMENTS: Medicare costs, utilization events, mortality. OBJECTIVES: To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. PARTICIPANTS: HBPC cases (n = 722) and controls (n = 2, 161) matched for sex, age bands, race, Medicare buy-in status (whether Medicaid covers Part B premiums), long-term nursing home status, cognitive impairment, and frailty. Cases were eligible if enrolled in MedStar Washington Hospital Center's HBPC program during 2004 to 2008. Controls were selected from Washington, District of Columbia, and urban counties in Virginia, Maryland, and Pennsylvania. , 144 vs. RESULTS: Mean age was 83.7 for cases and 82.0 for controls (P < .001). A majority of both groups was female (77%) and African American (90%). During a mean 2-year follow-up, in univariate analysis, cases had lower Medicare ( SETTING: HBPC practice in Washington, District of Columbia.
English
0002-8614
*Frail Elderly
*Home Care Services/ec [Economics]
*Medicare/ec [Economics]
*Primary Health Care/ec [Economics]
Aged
Aged, 80 and over
Case-Control Studies
Female
Follow-Up Studies
Humans
Male
Mortality
Multivariate Analysis
United States
Urban Health Services/ec [Economics]
MedStar Washington Hospital Center
Medicine/Geriatrics
Journal Article
Research Support, Non-U.S. Gov't