Back to Search
Start Over
Innovative Home Visit Models Associated With Reductions In Costs, Hospitalizations, And Emergency Department Use
- Source :
- Health affairs (Project Hope). 36(3)
- Publication Year :
- 2017
-
Abstract
- While studies of home-based care delivered by teams led by primary care providers have shown cost savings, little is known about outcomes when practice-extender teams-that is, teams led by registered nurses or lay health workers-provide home visits with similar components (for example, care coordination and education). We evaluated findings from five models funded by Health Care Innovation Awards of the Centers for Medicare and Medicaid Services. Each model used a mix of different components to strengthen connections to primary care among fee-for-service Medicare beneficiaries with multiple chronic conditions; these connections included practice-extender home visits. Two models achieved significant reductions in Medicare expenditures, and three models reduced utilization in the form of emergency department visits, hospitalizations, or both for beneficiaries relative to comparators. These findings present a strong case for the potential value of home visits by practice-extender teams to reduce Medicare expenditures and service use in a particularly vulnerable and costly segment of the Medicare population.
- Subjects :
- Special populations
education
Primary care
Medicare
03 medical and health sciences
0302 clinical medicine
Cost Savings
Medicine
Humans
030212 general & internal medicine
health care economics and organizations
Primary Health Care
business.industry
030503 health policy & services
Health Policy
Multicomponent interventions
Fee-for-Service Plans
Emergency department
medicine.disease
United States
Cost savings
Hospitalization
House Calls
Home visits
Female
Medical emergency
Health Expenditures
0305 other medical science
business
Emergency Service, Hospital
Subjects
Details
- ISSN :
- 15445208
- Volume :
- 36
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Health affairs (Project Hope)
- Accession number :
- edsair.doi.dedup.....d12d158bb3907e8c441d78e8d351a494