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Continuing Care01:25

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Related Experiment Video

Updated: Oct 17, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Home Palliative Care Savings.

Marvin J Gordon1, Tao Le1, Emmet W Lee2

  • 1Department of Medical Affairs, Health Net, Inc., Cypress, California, USA.

Journal of Palliative Medicine
|October 12, 2021
PubMed
Summary

Home palliative care (HPC) programs reduced annual healthcare costs by 16.7% for enrolled members. Longer enrollment periods (6-12 months) yielded greater cost savings compared to shorter periods (1-5 months).

Keywords:
advanced illnesshealth care costhealth care savingspalliative care

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Area of Science:

  • Health Economics
  • Palliative Care Research
  • Healthcare Management

Background:

  • Home palliative care (HPC) programs aim to manage costs while providing patient support.
  • Evaluating the cost-effectiveness of HPC across diverse insurance models is crucial for healthcare resource allocation.

Purpose of the Study:

  • To assess the impact of an adult home palliative care program on annual healthcare expenditures.
  • To determine if HPC enrollment leads to decreased healthcare costs across multiple insurance product lines and vendors.

Main Methods:

  • A retrospective review compared annual healthcare costs for 2019.
  • 396 members enrolled in HPC were compared to 110 members receiving usual care.
  • Cost savings were analyzed based on enrollment duration (1-5 months vs. 6-12 months).

Main Results:

  • HPC enrollment resulted in an average annual cost saving of $24,643 per member (16.7% decrease).
  • Members enrolled for 6-12 months showed higher savings ($26,409/member, 17.9% decrease) than those enrolled for 1-5 months ($23,314/member, 15.8% decrease).
  • Commercial insurance products experienced a 51% cost decrease, while Medicaid costs increased.

Conclusions:

  • Adult home-based palliative care is effective in reducing overall medical costs.
  • Longer enrollment in HPC programs correlates with greater cost savings.
  • Program effectiveness varies by insurance product line, with commercial insurance showing significant savings and Medicaid showing increased costs.