This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Weissert, W. Articles by Hirth, R. Search for Related Content PubMed PubMed Citation Articles by Weissert, W. Articles by Hirth, R. Related Collections Home Care

Health Tracking

MARKETWATCH

Beyond Managed Long-Term Care: Paying For Home Care Based On Risk Of Adverse Outcomes

Evaluations of home care for chronically ill elderly people have shown disappointing results for many years. Improvements in outcomes have been slight and costs high. We offer a system for setting budget targets based upon effectiveness of home care in mitigating certain adverse outcomes, the risk of those outcomes occurring, and the economic value of avoiding those outcomes. We believe that such a budgeting system will encourage improved measurement of outcomes and more rigorous justification for expenditures. Moreover, such a system is designed to reallocate resources to higher-risk patients and those more likely to benefit, focusing caregiving on specific outcomes and improving those outcomes.

                      What's this?

This article has been cited by other articles:

				N. J. Holland and D. E. Northrop Young Adults With Multiple Sclerosis: Management in the Home Home Health Care Management Practice, April 1, 2006; 18(3): 186 - 195. [Abstract] [PDF]

				V. L. Greene Prospective Budgeting for Home Care: Making Titration Work J Aging Health, August 1, 2005; 17(4): 399 - 424. [Abstract] [PDF]

				T. H. Wagner and S. Chen An Economic Evaluation of Inpatient Residential Treatment Programs in the Department of Veterans Affairs Med Care Res Rev, April 1, 2005; 62(2): 187 - 204. [Abstract] [PDF]

				W. G. Weissert, R. A. Hirth, M. E. Chernew, S. Diwan, and J. Kim Case Management: Effects of Improved Risk and Value Information Gerontologist, December 1, 2003; 43(6): 797 - 805. [Abstract] [Full Text] [PDF]

				J. A. Capitman Guest Editorial: Verve not ERVs for Care Planners Gerontologist, December 1, 2003; 43(6): 806 - 807. [Full Text] [PDF]

				E. A. Miller and W. G. Weissert Strategies for Integrating Medicare and Medicaid: Design Features and Incentives Med Care Res Rev, June 1, 2003; 60(2): 123 - 157. [Abstract] [PDF]

				W. Weissert, M. Chernew, and R. Hirth Titrating Versus Targeting Home Care Services to Frail Elderly Clients:: An Application of Agency Theory and Cost-Benefit Analysis to Home Care Policy J Aging Health, February 1, 2003; 15(1): 99 - 123. [Abstract] [PDF]