Abstract：
OBJECTIVE: To examine a 12-month dementia care management program\'s effect on health care cost, utilization, and overall return on investment in a Medicare managed care population.
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.
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.
摘要：
目的：研究为期12个月的痴呆护理管理计划对医疗费用的影响，利用率，以及对医疗保险管理医疗人群的整体投资回报。
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。
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。
