Home Palliative Care Savings

Gordon, Marvin J.; Le, Tao; Lee, Emmet W; Gao, Aijing

doi:10.1089/jpm.2021.0142

Cited by 4 publications

(8 citation statements)

References 16 publications

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“…Special attention also paid to the needs of the siblings. Gordon et al 2022(Gordon et al, 2022 (USA) Aim: The aim of this study was to evaluate an adult home palliative care (HPC) programme for multiple insurance product lines using multiple vendors to determine if the annual costs of healthcare decreased for those enrolled in HPC.…”

Section: Types Of Costs Measuredmentioning

confidence: 99%

“…For example, patients with COPD enrolled in the palliative care group spent $11,325 less on average compared to those in usual care, amounting to a 67% decrease in the cost of care (Enguidanos et al, 2005). A further costing analysis study from the USA aimed to evaluate an adult home palliative care (HPC) programme for multiple insurance product lines conducted from a payer perspective (Gordon et al, 2022(Gordon et al, ) 2021. Enrolment in the programme was associated with medical cost savings of $24,643 per member for the calendar year 2019 (Gordon et al, 2022).…”

Section: Usamentioning

confidence: 99%

“…A further costing analysis study from the USA aimed to evaluate an adult home palliative care (HPC) programme for multiple insurance product lines conducted from a payer perspective (Gordon et al, 2022(Gordon et al, ) 2021. Enrolment in the programme was associated with medical cost savings of $24,643 per member for the calendar year 2019 (Gordon et al, 2022).…”

Section: Usamentioning

confidence: 99%

See 2 more Smart Citations

The costs and cost-effectiveness of different service models of palliative care, focusing on end of life care: A rapid review

Spencer,

Anthony,

Davies

et al. 2024

Preprint

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Some people receive palliative or end of life care at home, others in hospitals or hospices, or a combination of home and hospice/home and hospital models. This rapid review aims to determine the costs and cost-effectiveness of different service models of palliative care or end of life care. These studies are mostly conducted from the perspective of the healthcare system, disregarding costs related to patients/caregivers economic burden (Perea-Bello et al., 2023). Research Implications and Evidence Gaps: More UK research is needed on cost impacts of new services such as Enhanced Supported Care (ESC). Future research should consider which methods are most appropriate to evaluate palliative care models. Standard methodology, such as the calculation of quality-adjusted life years (QALYs), may not be most appropriate for this end of life population. Improving QALYs may not be the intended aim of palliative care or end of life interventions, and prolonging death may be inconsistent with patient preferences and wishes. The quality and applicability of the evidence we found in our rapid review were variable, and therefore, uncertainty remains, especially when the perspective of analysis was not stated clearly. Therefore, it was difficult to ascertain whether all relevant costs were considered. Assumptions on costs were not varied in many studies, and most studies had different time horizons. Policy and Practice Implications: This rapid review has shown that hospital-based palliative care costs are higher than hospice or home-based palliative care. This suggests that home-based palliative care should be available to all patients in a recognisable end of life phase who desire to remain and die at home. Healthcare planners should aim to reduce hospitalisation at the end of life but only if access to quality home care at the end of life is guaranteed. Patients should have a choice about where they prefer to die without moving the costs from the healthcare system to the home caregivers, rendering the costs invisible.

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Section: Types Of Costs Measuredmentioning

confidence: 99%

Section: Usamentioning

confidence: 99%

Section: Usamentioning

confidence: 99%

See 1 more Smart Citation

The costs and cost-effectiveness of different service models of palliative care, focusing on end of life care: A rapid review

Spencer,

Anthony,

Davies

et al. 2024

Preprint

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“…Overall, studies have shown that there is very high satisfaction with home based palliative care programs [4]. In general, utilization of the hospital and emergency department (ED) decrease, overall health care cost decreases (mostly due to in-patient and ED savings), savings are greater when the patient is closer to end of life, and certain diagnoses like cancer are more likely show savings than chronic illness like dementia [5].…”

Section: Outcomes and Dispositionmentioning

confidence: 99%

Palliative Care

Gordon¹

2023

New Research in Nursing - Education and Practice

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Palliative care bridges the gap between medically focused care with case management support, and hospice with focus on comfort only in the last 6 months of life. A multidisciplinary palliative team provides support, both medical and psycho-social, regardless of time to end of life. Patients do not forego any treatments or interrupt any current physician relationships when enrolling in palliative care. Programs may be in-patient, clinic based, home based, telehealth or a combination of venues. 24-hour availability is encouraged. Coordination with the existing medical team and the health plan is a key to success. Periodic rounding between the palliative providers and the health plan team facilitates making the managed care system seamless for members and providers. The most common adult diagnosis is cancer, but severe progressive disease of any organ system may be appropriate for referral. Some patients may stabilize or even improve. Pediatric palliative care is somewhat different with the diagnosis more likely being genetic, developmental, or neurologic. Severe diseases in children may be chronic and end of life discussions difficult. Communication skills facilitate advance care planning discussions whether advance directive or POLST. Palliative care is a cost-effective program that improves patient care without the patient relinquishing existing benefits.

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“…Thus, providers should check the summary of benefits for the plan to check for coverage. Home‐based palliative care has been shown to reduce costs, lead to fewer hospitalizations, and increase enrollment in hospice 5–8 . The provision of these services utilizing the Medicare home health benefit may improve quality of life and reduce costs for many patients.…”

Section: Home Health Benefit a Fee For Service Benefit Under Medicare...mentioning

confidence: 99%