Perspective: Opportunities to improve the quality of care for advanced illness

Health Affairs

Volumn 28, Issue 5, 2009, Pages 1357-1359

  Krakauer, Randall ^a   Spettell, Claire M ^b   Reisman, Lonny ^a   Wade, Marcia J ^a  

^a Aetna ^*  (United States)

^b AETNA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EMERGENCY CARE; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOSPICE CARE; SHORT SURVEY; SOCIAL SUPPORT; UNITED STATES; ARTICLE; HUMAN; INSURANCE; PALLIATIVE THERAPY; PATIENT CARE; STANDARD;

HOSPICE CARE; HUMANS; INSURANCE CARRIERS; INSURANCE, HEALTH; PALLIATIVE CARE; PATIENT CARE MANAGEMENT; QUALITY OF HEALTH CARE; SOCIAL SUPPORT; UNITED STATES;

EID: 70349207405     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.5.1357     Document Type: Short Survey

References (9)

1. Wenger NS, Rosenfeld K. Quality indicators for end-of-life care in vulnerable elders. Ann Intern Med. 2001;135(8 Pt. 2):677-685 (Pubitemid 33015480)
2. Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA, et al. Evidence for improving palliative care at the end of life: a systematic review. Ann Intern Med. 2008;148(2): 147-159 (Pubitemid 351651557)
3. Feinberg AW. The care of dying patients. Ann Intern Med. 1997;126(2):164-165
4. Sylvia M, Griswold M, Dunbar L, Boyd CM, Park M, Boult C. Guided care: cost and utilization outcomes in a pilot study. Dis Manag. 2008 Feb;11(1):29-36.
5. Spettell CM, Rawlins W, Krakauer R, Fernandes J, Breton M, Gowdy W, et al. A comprehensive case management program to improve end of life care. J Palliat Med (forthcoming).
6. Emanuel EJ, Emanuel LL. The economics of dying - the illusion of cost savings at the end of life. N Engl J Med. 1994;330(8):540-544
7. Campbell DE, Lynn J, Louis TA, Shugarman LR. Medicare program expenditures associated with hospice use. Ann Intern Med. 2004;140(4): 269-277 (Pubitemid 38200534)
8. Zhang B, Wright AA, Huskamp HA, Nilsson ME, Maciejewski ML, Earle CC, et al. Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009 Mar;169(5):480-488
9. $17,161 versus $22,030 allowed medical costs for commercial decedents with case management versus matched historical control-group decedents, respectively, for a period of time between entry into case management program and death (average of forty days). Includes hospice, respite, inpatient, and emergency department care and pain medications; includes case management program expenses estimated at $400 per member enrolled in case management; control-group costs reflect assumed 10 percent trend.