Dataset Information

Cost analysis of a home-based nurse care coordination program.

ABSTRACT:

Objectives

To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.

Design

Randomized, controlled, three-arm longitudinal study.

Setting

Participant homes in a large Midwestern urban area.

Participants

Older adults identified as having difficulty managing their medications at discharge from Medicare Home Health Care (N = 414).

Intervention

A team consisting of advanced practice nurses (APNs) and registered nurses (RNs) coordinated care for two groups: home-based nurse care coordination (NCC) plus a pill organizer group and NCC plus a medication-dispensing machine group.

Measurements

To measure cost, participant claims data from 2005 to 2011 were retrieved from Medicare Part A and B Standard Analytical Files.

Results

Ordinary least squares regression with covariate adjustment was used to estimate monthly dollar savings. Total Medicare costs were $447 per month lower in the NCC plus pill organizer group (P = .11) than in a control group that received usual care. For participants in the study at least 3 months, total Medicare costs were $491 lower per month in the NCC plus pill organizer group (P = .06) than in the control group. The cost of the NCC plus pill organizer intervention was $151 per month, yielding a net savings of $296 per month or $3,552 per year. The cost of the NCC plus medication-dispensing machine intervention was $251 per month, and total Medicare costs were $409 higher per month than in the NCC plus pill organizer group.

Conclusion

Nurse care coordination plus a pill organizer is a cost-effective intervention for frail elderly Medicare beneficiaries. The addition of the medication machine did not enhance the cost effectiveness of the intervention.

SUBMITTER: Marek KD

PROVIDER: S-EPMC4383646 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature

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Publications

Cost analysis of a home-based nurse care coordination program.

Marek Karen Dorman KD Stetzer Frank F Adams Scott J SJ Bub Linda Denison LD Schlidt Andrea A Colorafi Karen Jiggins KJ

Journal of the American Geriatrics Society 20141208 12

<h4>Objectives</h4>To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.<h4>Design</h4>Randomized, controlled, three-arm longitudinal study.<h4>Setting</h4>Participant homes in a large Midwestern urban area.<h4>Participants</h4>Older adults identified as having difficulty managing their medications at ...[more]

PMID: 25482242

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Dataset Information

Cost analysis of a home-based nurse care coordination program.

Objectives

Design

Setting

Participants

Intervention

Measurements

Results

Conclusion

Publications

Cost analysis of a home-based nurse care coordination program.

Similar Datasets

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