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

MedPAC discusses limiting patients' post-acute options

MedPAC discusses limiting patients' post-acute options

Medicare rules might have to be relaxed to give hospitals more say in where patients go for post-acute care, members of the Medicare Payment Advisory Commission proposed at a recent ...

Nursing home workers told not to touch residents due to Ebola concerns

U.S. nursing home workers who hail from West Africa are being stigmatized as potential Ebola carriers and forbidden from touching residents, according to IRIN, an independent news service launched by the United Nations Office for the Coordination of Humanitarian Affairs.

Former office manager charged with embezzling half a million dollars from residents

The former business office manager of a Michigan nursing home has been charged with embezzling more than $460,000 from the resident trust fund, the state's attorney general announced last Thursday.