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Hospice Home Care Cost Savings to Third-Party Insurers

Bibliographic Data

ID9103416
AuthorsCharles H Brooks (Case Western Reserve University, corresponding author), Kathleen Smyth-Staruch
Year1984
Volume22
Issue8
Pages691-703
Publication date1984-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198408000-00002
PMID6381920
OpenAlexW2088877993
LanguageEN
Citations received6
References cited1

A population-based, retrospective analysis of Medicare Part A and Blue Cross hospital insurance claims data was used to determine whether hospice home care cost savings to third-party insurers are substantial and result from the substitution of less expensive home care visits for more costly hospital inpatient days. The study was carried out by comparing the third-party payments of Cuyahoga County residents who died of cancer and were served by a hospice home care program (n = 152) with the insurance payments of cancer patients who never received hospice home care (n = 1,397). The data strongly supported the research hypothesis. The relative use of hospital days decreased more than 50% and the use of home care visits increased 10-fold when dying patients shifted from conventional care to hospice home care. This change in use represented a relative savings of about 40%, ranging from $1,089 per patient during the last 2 weeks of life to $2,676 per patient during the last 12 weeks of life. These results were not accounted for by group differences in age, type of cancer, or personal preference for home care

Business · End-of-life care · Environmental health · Family medicine · Hospice care · Palliative care · Payment · Population · Emergency Medicine · Finance · Geriatric Care and Nursing Homes · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Palliative Care and End-of-Life Issues

  • Patient Predictors of Hospice Choice

    Vincent Mor, Thomas J Wachtel et al.•Medical Care•1985

  • Effects of an Expanding Home Care Program for the Terminally III

    Jane McCusker, Anne M Stoddard•Medical Care•1987

  • Hospice Care Improves Patients’ Self-Decision Making and Reduces Aggressiveness of End-of-Life Care for Advanced Cancer Patients

    Open Access•Chunli Wang, Chun-Li Wang et al.•International Journal of…•2022

  • Predictors of Mortality in Board and Care Homes

    Open Access•Nicholas G Castle•OMEGA - Journal of Death and Dying•1998

  • Pathways to Hospital Death among the Oldest Old

    Open Access•Deborah M Merrill, Vincent Mor•Journal of Aging and Health•1993

  • The impact of hospices on health care expenditures-the case of Taiwan

    Open Access•Joan C Lo•Social Science & Medicine•2002

  • Ucla Hospice Evaluation Study

    Jeffrey Wales, Robert L Kane et al.•Medical Care•1983

Unique citing works6
Citations per year0,15
Citation span1985 - 2022 (38)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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