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 | |
| State | Published - Jun 2010 |
| Externally published | Yes |
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Keywords
- Care coordination
- Home and communitybased care
- Long term care
- Medicaid costs
- Medicare costs
- Older adults
ASJC Scopus subject areas
- Nursing(all)
- Medicine(all)
Cite this
The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs. / Marek, Karen; Adams, Scott J.; Stetzer, Frank; Popejoy, Lori; Rantz, Marilyn.
In: Research in Nursing and Health, Vol. 33, No. 3, 06.2010, p. 235-242.Research output: Contribution to journal › Article
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TY - JOUR
T1 - The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs
AU - Marek, Karen
AU - Adams, Scott J.
AU - Stetzer, Frank
AU - Popejoy, Lori
AU - Rantz, Marilyn
PY - 2010/6
Y1 - 2010/6
N2 - 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.
AB - 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.
KW - Care coordination
KW - Home and communitybased care
KW - Long term care
KW - Medicaid costs
KW - Medicare costs
KW - Older adults
UR - http://www.scopus.com/inward/record.url?scp=77953933832&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77953933832&partnerID=8YFLogxK
U2 - 10.1002/nur.20378
DO - 10.1002/nur.20378
M3 - Article
C2 - 20499393
AN - SCOPUS:77953933832
VL - 33
SP - 235
EP - 242
JO - Research in nursing & health
JF - Research in nursing & health
SN - 0160-6891
IS - 3
ER -