Study highlights cost-effectiveness of home healthcare as post-acute setting

Share this article:
When home healthcare is used as the first post-acute care setting after a hospital stay, it was found to be the most cost-effective care setting, new research suggests.
 
But nursing home advocates contend that all post-acute providers have the same goal — to enable individuals to return to their homes, says Greg Crist, vice president of public affairs for the American Health Care Association, which represents nursing home operators.
 
“Although home health care is suitable in certain cases, AHCA considers an individual's healthcare setting as a medical needs issue, not necessarily a housing preference issue,” Crist told McKnight's. Crist says AHCA's members work with the Centers for Medicare & Medicaid Services on assessment tools, such as the Continuity Assessment Record and Evaluation (CARE) tool, to “assess individuals and ensure they are cared for in the most appropriate setting for their unique needs.”
 
For the study, conducted by Dobson DaVanzo and Associates, investigators studied Medicare claims data for 24,239,080 total post-acute episodes and a total of $472.8 billion in Medicare payments. Post-acute settings included skilled nursing facilities, inpatient rehab facilities and long-term care hospitals.

The investigators also looked at acute care hospital readmissions after a major joint replacement, finding that it was around double the percentage for patients who went to a skilled nursing facility or inpatient rehab instead of home health.

Click here and here to read the study, which was published in two working papers.

Share this article:

More in News

Skilled nursing facility trends contribute to improved Medicare outlook, Congressional report says

The Medicare trust fund is on track to remain solvent until 2030, trustees of the program stated in a Congressional report released Monday. This improved outlook is due in part to revised expectations about the case mix in skilled nursing facilities.

House bill would define, promote coordinated long-term care services

A bill introduced in the House of Representatives would target improved care coordination for seniors, also adding it under the Older Americans Act.

Seize the day: Tech Awards deadline is tomorrow

Seize the day: Tech Awards deadline is tomorrow

The final countdown has begun: Long-term care providers have less than 48 hours to enter the third annual McKnight's Excellence in Technology Awards. Submissions will be accepted through July 30.