Innovative Home Visit Models Associated With Reductions In Costs, Hospitalizations, And Emergency Department Use

dc.contributor.authorRuiz, Sarah
dc.contributor.authorSnyder, Lynne Page
dc.contributor.authorRotondo, Christina
dc.contributor.authorCross-Barnet, Caitlin
dc.contributor.authorColligan, Erin Murphy
dc.contributor.authorGiuriceo, Katherine
dc.description.abstractWhile studies of home-based care delivered by teams led by primary care providers have shown cost savings, little is known about outcomes when practice-extender teams—that is, teams led by registered nurses or lay health workers—provide home visits with similar components (for example, care coordination and education). We evaluated findings from five models funded by Health Care Innovation Awards of the Centers for Medicare and Medicaid Services. Each model used a mix of different components to strengthen connections to primary care among fee-for-service Medicare beneficiaries with multiple chronic conditions; these connections included practice-extender home visits. Two models achieved significant reductions in Medicare expenditures, and three models reduced utilization in the form of emergency department visits, hospitalizations, or both for beneficiaries relative to comparators. These findings present a strong case for the potential value of home visits by practice-extender teams to reduce Medicare expenditures and service use in a particularly vulnerable and costly segment of the Medicare population.en_US
dc.description.sponsorshipAn earlier version of this article was presented as a poster at the AcademyHealth Annual Research Meeting in Boston, Massachusetts, June 25, 2016. The research reported in this article was supported by the Center for Medicare and Medicaid Innovation (Contract No. HSSM-500-2011-00002I, Order No. HHSM-500-T00010). The authors thank Suzanne Wensky for her helpful comments on this article. The authors also thank the members of the NORC research team who supported the analysis discussed in this article: Brittany Branand, Sarah Downie, Alison Laffan, Sai Loganathan, Adil Moiduddin, Anna Schlissel, Garrett Shields, and Rachel Singer. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the Department of Health and Human Services or any of its agencies.en_US
dc.format.extent8 pagesen_US
dc.genrejournal articlesen_US
dc.identifier.citationRuiz, Sarah et al.; Innovative Home Visit Models Associated With Reductions In Costs, Hospitalizations, And Emergency Department Use; Health Affairs, 36, 3, March 2017;
dc.publisherProject HOPEen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Public Policy Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.en_US
dc.rightsPublic Domain Mark 1.0*
dc.rightsThis work was written as part of one of the author's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law
dc.titleInnovative Home Visit Models Associated With Reductions In Costs, Hospitalizations, And Emergency Department Useen_US


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