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Am J Manag Care. 2024 Aug;30(8):353-358. doi: 10.37765/ajmc.2024.89559.
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.
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.
Difference-in-differences analyses were conducted from baseline through 12 months comparing various financial metrics and utilization between groups.
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.
A collaborative dementia care program demonstrated significant financial benefit in a managed Medicare population.
在医疗保险管理式医疗人群中，研究为期 12 个月的痴呆症护理管理计划对医疗保健成本、利用和总体投资回报的影响。
2019 年至 2021 年，对参加 Ochsner 护理生态系统计划的参与者（n=121）与倾向匹配对照组（n=121）进行了预-后分析。主要结果比较是总护理成本。次要结果包括总护理成本的组成部分（如住院、门诊、急诊部门 [ED] 成本）、医疗保健利用情况（如 ED 就诊次数）和分层条件类别（HCC）风险评分的差异。
通过差异-差异分析，比较两组在基线至 12 个月期间的各种财务指标和利用情况。
与对照组相比，护理生态系统参与者在 12 个月时的总护理成本显著降低，每个成员每月平均节省 475.80 美元。护理生态系统参与者的 ED、门诊和专业就诊次数更少。与匹配对照组相比，HCC 风险评分也更好。
在管理式医疗保险人群中，协作性痴呆症护理计划显示出显著的财务效益。
