METHODS: Pre-post analysis of participants (n = 121) enrolled in Ochsner\'s Care Ecosystem program from 2019 through 2021 compared with propensity-matched controls (n = 121). The primary outcome comparison was total cost of care. Secondary outcomes included components of total cost of care (eg, inpatient, outpatient, emergency department [ED] costs), health care utilization (eg, number of ED visits), and differences in Hierarchical Condition Category (HCC) risk scores.
METHODS: Difference-in-differences analyses were conducted from baseline through 12 months comparing various financial metrics and utilization between groups.
RESULTS: Care Ecosystem participants had significantly lower total cost of care at 12 months, mean savings of $475.80 per member per month compared with controls. Care Ecosystem participants had fewer ED, outpatient, and professional visits. HCC risk scores were also better relative to matched controls.
CONCLUSIONS: A collaborative dementia care program demonstrated significant financial benefit in a managed Medicare population.
方法:对2019年至2021年参加Ochsner护理生态系统计划的参与者(n=121)与倾向匹配的对照组(n=121)进行事后分析。主要结果比较是护理总费用。次要结局包括护理总成本的组成部分(例如,住院,门诊病人,急诊科[ED]费用),医疗保健利用(例如,ED访问次数),和分层条件类别(HCC)风险评分的差异。
方法:从基线到12个月进行差异分析,比较不同的财务指标和组间利用率。
结果:护理生态系统参与者在12个月时的护理总费用显着降低,与对照组相比,每位成员每月平均节省475.80美元。护理生态系统参与者的ED较少,门诊病人,专业访问。相对于匹配的对照,HCC风险评分也更好。
结论:协作痴呆症护理计划在管理医疗保险人群中显示出显著的经济利益。