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Impact of the New York Long-Term Home Health Care Program
Medical Care
|July 1, 1986
Summary
The Long-Term Home Health Care Program (LTHHCP) successfully reduced nursing home use. While upstate sites saved costs and improved survival, NYC sites had higher costs but favorable patient outcomes, suggesting targeted enrollment could enhance cost-effectiveness.
Area of Science:
- Health Services Research
- Public Health Policy
- Geriatric Care
Background:
- New York State's Long-Term Home Health Care Program (LTHHCP), or Nursing Homes Without Walls, offers Medicaid-funded, nursing-home-level care at home.
- This program aims to provide an alternative to institutionalization for eligible individuals.
Purpose of the Study:
- To evaluate the performance of the initial nine LTHHCP sites during their first two years of operation.
- To assess the program's impact on nursing home utilization, patient outcomes, and healthcare costs.
Main Methods:
- Performance evaluation of nine LTHHCP sites over a two-year period.
- Analysis of nursing home utilization rates, patient survival, and healthcare expenditures.
Main Results:
- Significant reduction in nursing home utilization across all nine sites.
- Upstate sites demonstrated considerable cost savings and improved patient survival.
- New York City sites showed favorable patient outcomes but experienced higher healthcare costs compared to non-enrolled individuals.
Conclusions:
- The LTHHCP has proven effective in reducing nursing home utilization statewide.
- Targeting enrollment to specific patient subgroups could optimize the program's cost-effectiveness.
- Further analysis is needed to refine enrollment strategies for maximum benefit.