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Implementation Cost Analysis of an Intensive Comprehensive Aphasia Program.

Nicole Boyer1, Neil Jordan2, Leora R Cherney3

  • 1Department of Medicine, University of Chicago, Chicago, Illinois.

Archives of Physical Medicine and Rehabilitation
|November 28, 2020
PubMed
Summary

The initial cost to implement an intensive comprehensive aphasia program (ICAP) was $133,644. Subsequent programs are significantly less expensive, highlighting the impact of start-up costs on aphasia rehabilitation economics.

Keywords:
AphasiaCosts and cost analysisRehabilitation

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Area of Science:

  • Healthcare Economics
  • Speech-Language Pathology
  • Rehabilitation Medicine

Background:

  • Aphasia significantly impacts communication and quality of life.
  • Intensive comprehensive aphasia programs (ICAP) offer a structured approach to rehabilitation.
  • Understanding the financial investment required for ICAP implementation is crucial for healthcare providers.

Purpose of the Study:

  • To identify and quantify the costs associated with implementing an intensive comprehensive aphasia program (ICAP).
  • To analyze cost drivers and differentiate between start-up and operational expenses.

Main Methods:

  • A retrospective cost analysis was conducted on a clinical ICAP.
  • Cost data were obtained directly from the ICAP provider.
  • Sensitivity analyses were performed to assess cost variations and identify key financial factors.

Main Results:

  • The first-time implementation cost for an ICAP serving 8 participants was $133,644.
  • Per-participant break-even charges varied from $15,278 (10 participants) to $19,700 (6 participants).
  • Subsequent programs, after accounting for start-up costs and efficiencies, were estimated at $84,855; personnel, particularly speech-language pathologist time, represented the largest cost component.

Conclusions:

  • Initial implementation of an ICAP incurs substantial costs, which decrease for subsequent program offerings.
  • Further research is recommended to evaluate the cost-effectiveness of ICAPs in comparison to alternative aphasia treatments.