EVALUATION OF THE COSTS FOR VETERANS RECEIVING CARE IN GERIATRIC MEDICAL HOMES (GERIPACT)
VA Office of Geriatrics & Extended Care established Geriatric Patient-Aligned Care teams (GeriPACT) with team members (pharmacy, and social work) added to the panels, and panels 2/3 the size of most VA primary care teams, to better manage aged and frail Veterans. We evaluated GeriPACT effect on...
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Published in | Innovation in aging Vol. 1; no. suppl_1; p. 1329 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
US
Oxford University Press
01.07.2017
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Subjects | |
Online Access | Get full text |
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Summary: | VA Office of Geriatrics & Extended Care established Geriatric Patient-Aligned Care teams (GeriPACT) with team members (pharmacy, and social work) added to the panels, and panels 2/3 the size of most VA primary care teams, to better manage aged and frail Veterans. We evaluated GeriPACT effect on expenditures among Veterans with >2 diagnoses based self-care capacity limitations (JEN Frailty Index, JFI>2) cared for at 84 VA facilities. NOSOS, a refinement of Medicare’s HCC model, was used to predict expenditures. Regressions estimated effect of GeriPACT on log expenditures, comparing GeriPACT Veterans to propensity score-matched Veterans receiving regular care. Management by GeriPACT was associated with significantly lower combined VA and Medicare expenditures: 14% less for JFI>2, 8% for JFI>5 and 13% for JFI 3–6. VA expenditures alone had associated savings of 12%, 6%, and 11%, respectively. GeriPACT reduces costs, especially when targeted at appropriate patients, e.g., those with JFI 3–6. |
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ISSN: | 2399-5300 2399-5300 |
DOI: | 10.1093/geroni/igx004.4871 |