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Beyond managed long-term care: paying for home care based on risk of adverse outcomes
W Weissert1, M Chernew, R Hirth
1Department of Health Management and Policy, University of Michigan School of Public Health, USA.
Abstract:
Evaluations of home care for chronically ill elderly people have shown disappointing results for many years. Improvements in outcomes have been slight and costs high. We offer a system for setting budget targets based upon effectiveness of home care in mitigating certain adverse outcomes, the risk of those outcomes those outcomes. We believe that such a budgeting system will encourage improved measurement of outcomes and more rigorous justification for expenditures. Moreover, such a system is designed to reallocate resources to higher-risk patients and those more likely to benefit, focusing caregiving on specific outcomes and improving those outcomes.
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