Cost Analysis And Policy Implications Of A Pediatric Palliative Care Program.

Title

Cost Analysis And Policy Implications Of A Pediatric Palliative Care Program.

Creator

Gans D; Hadler MW; Chen X; Wu SH; Dimand R; Abramson JM; Ferrell B; Diamant AL; Kominski GF

Publisher

Journal Of Pain And Symptom Management

Date

2016

Subject

Palliative Concurrent Care Cost Pediatric Policy

Description

CONTEXT:
In 2010, California launched Partners for Children (PFC), a pediatric palliative care pilot program offering hospice-like services for children eligible for full-scope Medicaid delivered concurrently with curative care, regardless of the child's life expectancy.

OBJECTIVES:
We assessed the change from before PFC enrollment to the enrolled period in 1) health care costs per enrollee per month (PEPM), 2) costs by service type and diagnosis category, and 3) health care utilization (days of inpatient care and length of hospital stay).

METHODS:
A pre-post analysis compared enrollees' health care costs and utilization up to 24 months before enrollment with their costs during participation in the pilot, from January 2010 through December 2012. Analyses were conducted using paid Medicaid claims and program enrollment data.

RESULTS:
The average PEPM health care costs of program enrollees decreased by $3331 from before their participation in PFC to the enrolled period, driven by a reduction in inpatient costs of $4897 PEPM. PFC enrollees experienced a nearly 50% reduction in the average number of inpatient days per month, from 4.2 to 2.3. Average length of stay per hospitalization dropped from an average of 16.7 days before enrollment to 6.5 days while in the program.

CONCLUSION:
Through the provision of home-based therapeutic services, 24/7 access to medical advice, and enhanced, personally tailored care coordination, PFC demonstrated an effective way to reduce costs for children with life-limiting conditions by moving from costly inpatient care to more coordinated and less expensive outpatient care. PFC's home-based care strategy is a cost-effective model for pediatric palliative care elsewhere.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

May 2016 List

Citation

Gans D; Hadler MW; Chen X; Wu SH; Dimand R; Abramson JM; Ferrell B; Diamant AL; Kominski GF, “Cost Analysis And Policy Implications Of A Pediatric Palliative Care Program.,” Pediatric Palliative Care Library, accessed October 24, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10596.

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