1. Effects of Home‐Based Primary Care on Medicare Costs in High‐Risk Elders
- Author
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K. Eric De Jonge, Stephanie R. Bruce, Joanna M. Kubisiak, George Taler, Namirah Jamshed, and Daniel M. Gilden
- Subjects
African american ,Gerontology ,Univariate analysis ,business.industry ,Primary care ,Home based ,Home health ,Medicine ,Geriatrics and Gerontology ,business ,Nursing homes ,Cognitive impairment ,Medicaid ,health care economics and organizations ,Demography - Abstract
Objectives To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. Design Case–control concurrent study using Medicare administrative data. Setting HBPC practice in Washington, District of Columbia. Participants HBPC cases (n = 722) and controls (n = 2,161) matched for sex, age bands, race, Medicare buy-in status (whether Medicaid covers Part B premiums), long-term nursing home status, cognitive impairment, and frailty. Cases were eligible if enrolled in MedStar Washington Hospital Center's HBPC program during 2004 to 2008. Controls were selected from Washington, District of Columbia, and urban counties in Virginia, Maryland, and Pennsylvania. Intervention HBPC clinical service. Measurements Medicare costs, utilization events, mortality. Results Mean age was 83.7 for cases and 82.0 for controls (P
- Published
- 2014
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