Aging in place versus nursing home care

comparison of costs to Medicare and Medicaid.

Karen Marek, Frank Stetzer, Scott J. Adams, Lori L. Popejoy, Marilyn Rantz

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The objective of this study was to compare the community-based, long-term care program called Aging in Place (AIP) and nursing home care, in terms of cost to the Medicare and Medicaid programs. A retrospective cohort design was used in this study of 39 nursing home residents in the Midwest who were matched with 39 AIP participants. The AIP program consisted of a combination of Medicare home health, Medicaid home and community-based services (HCBS), and intensive nurse care coordination. Controlling for high inpatient Medicare cost in the 6 months prior and the 10 most frequently occurring chronic conditions, multiple regression was used to estimate the relationship of the AIP program on Medicare and Medicaid costs. Total Medicare and Medicaid costs were $1,591.61 lower per month in the AIP group (p < 0.01) when compared with the nursing home group over a 12-month period. The findings suggest that the provision of nurse-coordinated HCBS and Medicare home health services has potential to provide savings in the total cost of health care to the Medicaid program while not increasing the cost of the Medicare program.

Original languageEnglish (US)
Pages (from-to)123-129
Number of pages7
JournalResearch in gerontological nursing
Volume5
Issue number2
DOIs
StatePublished - Apr 2012

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Independent Living
Medicaid
Home Care Services
Nursing Care
Medicare
Nursing Homes
Costs and Cost Analysis
Social Welfare
Community Health Nurses
Long-Term Care
Critical Care
Health Care Costs
Health Services
Inpatients
Nurses
Health

ASJC Scopus subject areas

  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology

Cite this

Aging in place versus nursing home care : comparison of costs to Medicare and Medicaid. / Marek, Karen; Stetzer, Frank; Adams, Scott J.; Popejoy, Lori L.; Rantz, Marilyn.

In: Research in gerontological nursing, Vol. 5, No. 2, 04.2012, p. 123-129.

Research output: Contribution to journalArticle

Marek, Karen ; Stetzer, Frank ; Adams, Scott J. ; Popejoy, Lori L. ; Rantz, Marilyn. / Aging in place versus nursing home care : comparison of costs to Medicare and Medicaid. In: Research in gerontological nursing. 2012 ; Vol. 5, No. 2. pp. 123-129.
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