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Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care
Mark Angelo1,2, Abigail Souder3, Angela Poole2
1Supportive Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Population Health Management
|November 27, 2023
Summary
Home-based palliative care (HBPC) services significantly reduce hospitalizations and total costs for accountable care organization (ACO) beneficiaries nearing end of life. This approach improves care efficiency and outcomes for high-need patients.
Area of Science:
- Health Services Research
- Gerontology
- Palliative Care
Background:
- Accountable Care Organizations (ACOs) aim to improve healthcare efficiency and quality.
- Directing resources to high-need patients is crucial for ACO success.
- Home-based palliative care (HBPC) addresses needs of seriously ill patients and can lower costs.
Purpose of the Study:
- To evaluate the impact of HBPC on cost, quality, and utilization for Medicare beneficiaries in an ACO nearing end of life.
Main Methods:
- Retrospective review of 3418 Medicare Shared Savings Program beneficiaries.
- Comparison of decedents who received HBPC versus those who did not.
- Analysis of cost, quality, and utilization patterns.
Main Results:
- HBPC recipients had a 51% reduction in hospitalizations.
- HBPC group showed increased hospice utilization (70% vs. 43%).
- Total cost of care was significantly lower for HBPC recipients ($27,203 vs. $36,089).
Conclusions:
- HBPC is associated with decreased cost and utilization in an accountable care population nearing end of life.
- Further research is needed to identify specific care components driving these positive outcomes.
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