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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)235-242
Number of pages8
JournalResearch in Nursing and Health
Volume33
Issue number3
DOIs
StatePublished - 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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