Changes in health care costs and mortality associated with transitional care management services after a discharge among medicare beneficiaries

JAMA Internal Medicine

Volumn 178, Issue 9, 2018, Pages 1283-

  Bindman, Andrew B ^a,b   Cox, Donald F ^a  

^a U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; DATA ANALYSIS; FEMALE; HEALTH CARE COST; HOME CARE; HOSPITAL PATIENT; HUMAN; LONG TERM CARE; MALE; MEDICAID; MEDICARE; MORTALITY; OUTPATIENT; REHABILITATION; RETROSPECTIVE STUDY; TRANSITIONAL CARE; CHRONIC DISEASE; ECONOMICS; EPIDEMIOLOGY; HOSPITAL DISCHARGE; SURVIVAL RATE; UNITED STATES;

AGED; CHRONIC DISEASE; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HOME CARE SERVICES; HUMANS; MALE; MEDICARE; PATIENT DISCHARGE; SURVIVAL RATE; TRANSITIONAL CARE; UNITED STATES;

EID: 85052715669     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2018.2572     Document Type: Article

References (19)

1. Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB. The care span: the importance of transitional care in achieving health reform. Health Aff (Millwood). 2011;30(4):746-754. doi:10.1377 /hlthaff.2011.0041
2. Naylor MD, Hirschman KB, O'Connor M, Barg R, Pauly MV. Engaging older adults in their transitional care: what more needs to be done? J Comp Eff Res. 2013;2(5):457-468. doi:10.2217/cer.13.58
3. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360 (14):1418-1428. doi:10.1056/NEJMsa0803563
4. Medicare Payment Advisory Commission. Promoting Greater Efficiency in Medicare: Report to Congress. Washington DC: MedPAC (Medicare Payment Advisory Commission); 2007.
5. Coleman EA, Boult C; American Geriatrics Society Health Care Systems Committee. Improving the quality of transitional care for persons with complex care needs. J Am Geriatr Soc. 2003;51(4): 556-557. doi:10.1046/j.1532-5415.2003.51186.x
6. Harrison PL, Hara PA, Pope JE, Young MC, Rula EY. The impact of postdischarge telephonic follow-up on hospital readmissions. Popul Health Manag. 2011;14(1):27-32. doi:10.1089/pop.2009 .0076
7. Tang N, Fujimoto J, Karliner L. Evaluation of a primary care-based post-discharge phone call program: keeping the primary care practice at the center of post-hospitalization care transition. J Gen Intern Med. 2014;29(11):1513-1518. doi:10.1007 /s11606-014-2942-6
8. Misky GJ, Wald HL, Coleman EA. Post-hospitalization transitions: examining the effects of timing of primary care provider follow-up. J Hosp Med. 2010;5(7):392-397. doi:10.1002/jhm .666
9. Bindman AB, Blum JD, Kronick R. Medicare's transitional care payment-a step toward the medical home. N Engl J Med. 2013;368(8):692-694. doi:10.1056/NEJMp1214122
10. Office of Human Research Protections, US Department of Health and Human Services. Human subject regulations decision charts. https://www.hhs.gov/ohrp/regulations-and-policy/decision-charts/index.html#c6. Accessed May 23, 2018.
11. Medicare Data on Provider Practice and Specialty. https://www.resdac.org/cms-data/files/md-ppas. Accessed May 23, 2018.
12. Medicare Shared Savings Program. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/for-acos /index.html. Accessed May 23, 2018.
13. The Dartmouth Atlas of health care. Geographic crosswalks and research files. http://www .dartmouthatlas.org/tools/downloads.aspx?tab =39#zip_crosswalks. Accessed March 21, 2018.
14. Clinical Classifications Software (ICD-9-CM) summary and download. https://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp. Accessed May 19, 2018.
15. Wergin RL. Letter to Andy Slavitt, acting administrator, Centers for Medicare and Medicaid Services, on medical records for the transitional care management code. American Academy of Family Physicians. https://www.aafp.org/dam/aafp/documents/advocacy/legal/hipaa/lt-cms-tcmcode -031516.pdf. Published March 15, 2016. Accessed February 1, 2017.
16. McWilliams JM, Hatfield LA, Chernew ME, Landon BE, Schwartz AL. Early performance of accountable care organizations in Medicare. N Engl J Med. 2016;374(24):2357-2366. doi:10.1056 /NEJMsa1600142
17. Joint Commission. Transitions of care: the need for a more effective approach to continuing patient care. https://www.jointcommission.org/assets/1/18/hot_topics_transitions_of_care.pdf. Accessed February 1, 2017.
18. Bindman AB, Cox DF. Jump-starting chronic care management services. https://newsatjama.jama.com/2016/03/10/jama-forum-jump-starting -chronic-care-management-services/. Accessed February 1, 2017.
19. Centers for Medicare and Medicaid Services. Chronic care management services changes for 2017. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln /mlnproducts/downloads /chroniccaremanagementserviceschanges2017.pdf. Accessed February 1, 2017.