The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs

Karen Dorman Marek; Scott J. Adams; Frank Stetzer; Lori Popejoy; Marilyn Rantz

doi:10.1002/nur.20378

The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs

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

Nursing and Health Innovation, Edson College of (EDSON)

Research output: Contribution to journal › Article

19 Scopus citations

Abstract

The purpose of this evaluation was to study the relationship of nurse care coordination (NCC) to the costs of Medicare and Medicaid in a community-based care program called Missouri Care Options (MCO). A retrospective cohort design was used comparing 57 MCO clients with NCC to 80 MCO clients without NCC. Total cost was measured using Medicare and Medicaid claims databases. Fixed effects analysis was used to estimate the relationship of theNCC intervention to costs. Controlling for high resource use on admission, monthly Medicare costs were lower ($686) in the 12 months of NCC intervention (p=.04) while Medicaid costs were higher ($203; p=.03) for the NCC group when compared to the costs of MCO group.

Original language	English (US)
Pages (from-to)	235-242
Number of pages	8
Journal	Research in Nursing and Health
Volume	33
Issue number	3
DOIs	https://doi.org/10.1002/nur.20378
State	Published - Jun 2010

Keywords

Care coordination
Home and communitybased care
Long term care
Medicaid costs
Medicare costs
Older adults

ASJC Scopus subject areas

Nursing(all)

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10.1002/nur.20378

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Marek, K. D., Adams, S. J., Stetzer, F., Popejoy, L., & Rantz, M. (2010). The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs. Research in Nursing and Health, 33(3), 235-242. https://doi.org/10.1002/nur.20378

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