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Related Experiment Videos

Ambulatory and community-based services.

F Thomas1

  • 1fthomas@hcfa.gov

Health Care Financing Review
|August 3, 2001
PubMed
Summary
This summary is machine-generated.

Medicare demonstrations explore shifting care to community settings. Coordinated models and disease-specific programs aim to reduce costs and improve patient outcomes in home health and waiver programs.

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Area of Science:

  • Health Services Research
  • Health Economics
  • Public Health Policy

Background:

  • Healthcare delivery is shifting from inpatient to community settings due to cost concerns and quality of life improvements.
  • Medicare has initiated demonstrations focusing on ambulatory and community-based services to address these shifts.
  • There is a growing emphasis on coordinated care models and disease-specific programs.

Purpose of the Study:

  • To evaluate the cost-effectiveness and beneficiary outcomes of Medicare demonstrations for community-based care.
  • To assess the impact of coordinated care models on healthcare costs.
  • To examine the role of home health care within Medicare post-acute benefits and for specific conditions like end-stage renal disease (ESRD).

Main Methods:

  • Analysis of four Medicare demonstrations focused on coordinated care and disease-specific programs.

Related Experiment Videos

  • Review of two articles on home health care, including its relation to other Medicare post-acute benefits.
  • Examination of two articles on Section 1915c Medicaid home and community-based waiver programs.
  • Main Results:

    • Demonstrations investigate the extent to which coordinated care models reduce healthcare costs.
    • Cost-effectiveness and beneficiary outcomes of disease-specific programs are analyzed.
    • The use of home health care in treating end-stage renal disease (ESRD) is specifically addressed.

    Conclusions:

    • Community-based and coordinated care models show potential for cost reduction and improved patient outcomes.
    • Home health care plays a significant role in post-acute care and managing chronic conditions like ESRD.
    • Medicaid waiver programs offer essential home and community-based services.