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 facilities with poor quality ratings do not readmit more patients to hospitals, researchers find

Skilled nursing facilities with poor quality ratings do ...

Low-quality and high-quality skilled nursing facilities readmit about the same proportion of residents to hospitals, suggest research findings recently published in the American Journal of Medical Quality.

Cipro and related antibiotics increase MRSA risk in long-term care facilities, study ...

Long-term care residents on a fluoroquinolone antibiotic such as Cipro are at an increased risk for methicillin-resistant Staphylococcus aureus, researchers in France have found.

Jonathan Blum, who oversaw long-term care reforms, resigns as head of Medicare

The nation's top Medicare official, Jonathan Blum, is leaving his post next month, news outlets reported Tuesday. Blum became a familiar figure to long-term care providers through Open Door Forum calls and other outreach efforts during his five-year tenure, as he guided implementation of Medicare ...