House calls: California program for homebound patients reduces monthly spending, delivers meaningful care

Health Affairs

Volumn 35, Issue 1, 2016, Pages 28-35

  Melnick, Glenn A ^a,b   Green, Lois ^c   Rich, Jeremy ^d  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b RAND CORPORATION   (United States)

^c Policy and Management   (United States)

^d HealthCare Partners Institute for Applied Research and Education   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EMERGENCY WARD; HOMEBOUND PATIENT; HOSPITAL READMISSION; HOSPITAL UTILIZATION; HUMAN; PROFESSIONAL PRACTICE; UNITED STATES; AGED; CALIFORNIA; COST CONTROL; ECONOMICS; FEMALE; FRAIL ELDERLY; HEALTH CARE COST; HEALTH CARE DELIVERY; HOME VISIT; HOSPITAL EMERGENCY SERVICE; MALE; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PROGRAM DEVELOPMENT; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CALIFORNIA; COST SAVINGS; DELIVERY OF HEALTH CARE; EMERGENCY SERVICE, HOSPITAL; FEMALE; FRAIL ELDERLY; HEALTH CARE COSTS; HOMEBOUND PERSONS; HOUSE CALLS; HUMANS; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PROGRAM DEVELOPMENT;

EID: 84958214543     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2015.0253     Document Type: Article

References (14)

1. Shah MN, Glushak C, Karrison TG, Mulliken R, Walter J, Friedmann PD, et al. Predictors of emergency medical services utilization by elders. Acad Emerg Med. 2003;10(1):52-8.
2. Wolinsky FD, Liu L, Miller TR, An H, Geweke JF, Kaskie B, et al. Emergency department utilization patterns among older adults. J Gerontol A Biol Sci Med Sci. 2008;63(2): 204-9.
3. Neuman T, Cubanski J, Huang J, Damico A. The rising cost of living longer: analysis of Medicare spending by age for beneficiaries in traditional Medicare [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2015 Jan 14 [cited 2015 Dec 11]. Available from: http://kff.org/medicare/report/the-risingcost-of-living-longer-analysis-ofmedicare-spending-by-age-forbeneficiaries-in-traditionalmedicare/
4. Congressional Budget Office. Highcost Medicare beneficiaries [Internet]. Washington (DC): CBO; 2005 May [cited 2015 Dec 3]. (A CBO Paper). Available from: https://www.cbo.gov/sites/default/files/109th-congress-2005-2006/reports/05-03-medispending.pdf
5. Centers for Medicare and Medicaid Services. Independence at Home (IAH) Demonstration: year 1 practice results [Internet]. Baltimore (MD): CMS; 2015 Jun [cited 2015 Dec 11]. Available from: https://innovation.cms.gov/Files/x/iahyroneresults. pdf
6. Cole ES, Campbell C, Diana ML, Webber L, Culbertson R. Patientcentered medical homes in Louisiana had minimal impact on Medicaid population's use of acute care and costs. Health Aff (Millwood). 2015; 34(1):87-94.
7. Peikes D, Dale S, Lundquist E, Genevro J, Meyers D. Building the evidence base for the medical home: what sample and sample size do studies need? Mathematica Policy Research White Paper [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2011 Oct [cited 2015 Dec 3]. (AHRQ Publication No. 11-0100-EF). Available from: https://pcmh.ahrq.gov/sites/default/files/attachments/Building %20Evidence%20Base%20PCMH%20White%20Paper.pdf
8. Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, et al. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835-43.
9. Brown RS, Peikes D, Peterson G, Schore J, Razafindarkoto CM. Six features of Medicare coordinated care demonstration programs that cut hospital admissions of high-risk patients. Health Aff (Millwood). 2012;31(6): 1156-66. This article includes data on program fees by CMS to the site but does not include actual program operational costs.
10. Clark C. PCMH pilot not associated with cost reductions, study shows. Health Leaders Media [serial on the Internet]. 2014 Feb 27 [cited 2015 Dec 3]. Available from: http://www.healthleadersmedia.com/content/QUA-301470/PCMH-Pilot-Not-Associated-with-Cost-Reductions-Study-Shows##
11. De Jonge KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Effects of home-based primary care on Medicare costs in high-risk elders. J Am Geriatr Soc. 2014;62(10):1825-31.
12. Edes T, Kinosian B, Vuckovic NH, Nichols LO, Becker MM, Hossain M. Better access, quality, and cost for clinically complex veterans with home-based primary care. J Am Geriatr Soc. 2014;62(10):1954-61.
13. Reckrey JM, Soriano TA, Hernandez CR, DeCherrie LV, Chavez S, Zhang M, et al. The team approach to homebased primary care: restructuring care to meet individual, program, and system needs. J Am Geriatr Soc. 2015;63(2):358-64.
14. CMS.gov. Independence at Home Demonstration [home page on the Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; [last updated 2015 Oct 7; cited 2015 Dec 3]. Available from: https://innovation.cms.gov/initiatives/independence-at-home