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Documentation in Long-Term and Home Healthcare Setting

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Assisted living pilot program: utilization and cost findings.

Michael K Chapko1, Larry M Manheim, Marylou Guihan

  • 1VA Puget Sound Health Care System and University of Washington, 1100 Olive Way, Suite 1400, Seattle, WA 98101 USA. chapko@u.washington.edu

Journal of Aging and Health
|January 16, 2009
PubMed
Summary
This summary is machine-generated.

The Assisted Living Pilot Program (ALPP) helped veterans transition to long-term care but incurred higher healthcare costs. This pilot program was more expensive than traditional care options for eligible veterans.

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Published on: September 30, 2020

Area of Science:

  • Health Services Research
  • Gerontology
  • Public Health Policy

Background:

  • The Department of Veterans Affairs (VA) introduced the Assisted Living Pilot Program (ALPP) to fund assisted living, adult family home, and adult residential care.
  • This initiative marked the first time the VA provided funding for these types of long-term care facilities.

Purpose of the Study:

  • To compare the utilization and costs of care for individuals enrolled in the ALPP versus a comparable group of VA patients.
  • To evaluate the financial implications of the VA's investment in assisted living and similar residential care models.

Main Methods:

  • A nonrandomized study design was employed, comparing the ALPP group (n=393) with a control group of eligible VA patients who did not enter ALPP (n=259).
  • Both groups were followed for 12 months to assess costs related to ALPP facilities, case management, and overall healthcare utilization.

Main Results:

  • ALPP facility costs averaged $5,560 per individual, and ALPP case management costs averaged $2,830 per individual.
  • Total healthcare costs for the ALPP group were $11,533 higher than the comparison group after adjusting for baseline differences, inclusive of ALPP expenses.

Conclusions:

  • The ALPP effectively facilitated veterans' transition into longer-term care settings within assisted living and similar facilities.
  • Despite its success in care transitions, the ALPP proved to be a more costly option compared to the non-ALPP comparison group.