TY  - BOOK
AU  - Bruce, Stephanie
AU  - De Jonge, K Eric
AU  - Jamshed, Namirah
AU  - Taler, George
TI  - Effects of home-based primary care on Medicare costs in high-risk elders
SN  - 0002-8614
KW  - *Frail Elderly
KW  - *Home Care Services/ec [Economics]
KW  - *Medicare/ec [Economics]
KW  - *Primary Health Care/ec [Economics]
KW  - Aged
KW  - Aged, 80 and over
KW  - Case-Control Studies
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Male
KW  - Mortality
KW  - Multivariate Analysis
KW  - United States
KW  - Urban Health Services/ec [Economics]
KW  - MedStar Washington Hospital Center
KW  - Medicine/Geriatrics
KW  - Journal Article
KW  - Research Support, Non-U.S. Gov't
N1  - Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006
N2  - 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; 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
UR  - http://dx.doi.org/10.1111/jgs.12974
ER  -