Study shows significant cost savings with a home-based palliative care program

October 18, 2016, Mary Ann Liebert, Inc

A home-based palliative care (HBPC) program for individuals with advanced illnesses was associated with a $12,000 reduction in the mean total cost of care per person, fewer hospital admissions and emergency room visits, and greater use of hospice during the final three months of life, as reported in a study published in Journal of Palliative Medicine.

In the article entitled "The Impact of a Home-Based Palliative Care Program in an Accountable Care Organization," Dana Lustbader, MD and coauthors from ProHEALTH Care—An Optum Company and ProHEALTH Medical Management (Lake Success, NY), Optum Center for Palliative and Supportive Care (Eden Prairie, MN), and OptumCare (Phoenix, AZ), describe a HBPC program that was implemented within an Accountable Care Organization of a Medicare Shared Savings Program. The retrospective study compared individuals enrolled in the HBPC program to those receiving usual care.

An HBPC team included registered nurses, social workers, doctors, and administrative staff, each with strong clinical skills in palliative care. Care included home visits, telephone calls, and access to telepalliative care, in which patients and caregivers could interact virtually with any member of the team using a smart phone or computer.

"This is strong evidence that home-based palliative care delivers on the value equation—improved quality at lower cost," says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine and Vice President, Medical Affairs, Hospice and Palliative Medicine for the OhioHealth system.

Explore further: Study shows inpatient palliative care reduces hospital costs and readmissions

More information: Dana Lustbader et al, The Impact of a Home-Based Palliative Care Program in an Accountable Care Organization, Journal of Palliative Medicine (2016). DOI: 10.1089/jpm.2016.0265

Related Stories

Study shows inpatient palliative care reduces hospital costs and readmissions

October 16, 2014
Palliative care provided in the hospital offers known clinical benefits, and a new study shows that inpatient palliative care can also significantly lower the cost of hospitalization and the rate of readmissions. Further, ...

Most hospital palliative care programs are understaffed

October 5, 2016
Most hospitals offer palliative care services that help people with serious illnesses manage their pain and other symptoms and make decisions about their treatment, while providing emotional support and assistance in navigating ...

Some cancer center staff uncertain of services offered

September 21, 2016
(HealthDay)—Staff members at nearly one in 10 major U.S. cancer centers—all of which provide palliative care services—weren't certain such symptom-management and supportive care was actually available there, according ...

Major changes needed to improve palliative care in Canada

August 22, 2016
Canada's approach to palliative care must be broadened to offer support to people with serious chronic illnesses other than cancer, states an analysis in CMAJ (Canadian Medical Association Journal).

Access to palliative care in US hospitals still not universal

October 1, 2015
Despite rapid expansion in hospital palliative care programs in the U.S., access to these programs nationwide varies across geographic regions and depends on factors such as hospital size and tax status, according to a new ...

Study finds one in five children who might benefit from pediatric palliative care do not

October 13, 2016
The University of Toronto's Faculty of Nursing today announced that only 18 per cent of children with life-threatening conditions access specialized pediatric palliative care in Canada, a 13 per cent increase since 2002. ...

Recommended for you

Hot cars can hit deadly temperatures in as little as one hour

May 24, 2018
A lot can happen at 160 degrees Fahrenheit: Eggs fry, salmonella bacteria dies, and human skin will suffer third-degree burns. If a car is parked in the sun on a hot summer day, its dashboard can hit 160 degrees in about ...

In helping smokers quit, cash is king, e-cigarettes strike out

May 23, 2018
Free smoking cessation aids, such as nicotine patches and chewing gum, are a staple of many corporate wellness programs aimed at encouraging employees to kick the habit. But, new research shows that merely offering such aids ...

Time spent sitting at a screen matters less if you are fit and strong

May 23, 2018
The impact of screen time on cardiovascular disease, cancer incidence and mortality may be greatest in people who have lower levels of grip-strength, fitness and physical activity, according to a study published in the open ...

What makes us well? Diversity, health care, and public transit matter

May 23, 2018
Diverse neighbors. Health centers. Commuter trains. These community attributes, and other key factors, are linked to well-being and quality of life, according to Yale researchers.

Widely used e-cigarette flavoring impairs lung function

May 23, 2018
A new study has found that a common e-cigarette flavoring that has chemical characteristics similar to toxic chemicals found in cigarette smoke disrupts an important mechanism of the lungs' antibacterial defense system. The ...

Study: Strenuous exercise in adolescence may ward off height loss later in life

May 23, 2018
A new study has identified several key factors in postmenopausal women that are associated with height loss, a common occurrence in this age group that is known to increase the risk for death and disease.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.