Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site

2.50
Hdl Handle:
http://hdl.handle.net/10755/160450
Type:
Presentation
Title:
Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site
Abstract:
Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Schraeder, Cheryl
Contact Address: Health Systems Research Center, PO Box 538, Mahomet, IL, 61853, USA
STUDY AIM: Medicare Alzheimer’s Disease Demonstration and Evaluation was implemented in 1989 in eight national sites using a randomized design. One of the limitations of the MADDE analyses was that the evaluation did not examine the demonstration’s effect on the caregiver’s health care utilization or Medicare expenditures. The purpose of this study is to examine the effect of the Medicare Alzheimer’s Disease Demonstration and Evaluation conducted in Illinois on the use of health services and Medicare expenditures by caregivers of persons with dementia. RESEARCH METHODOLOGY: This secondary analysis examined hospital and emergency department (ED) use and total Medicare Part A expenditures incurred by Illinois caregivers who participated in MADDE. The sample consisted of 412 caregivers (treatment group=210; control group=202) who were Medicare eligible at the time of enrollment. Multivariate logistic and linear regression models were used to test for treatment effects on the likelihood of hospital and ED use and total Medicare Part A expenditures. RESULTS AND FINDINGS: When the baseline differences between the groups were controlled for in the regression analyses, the likelihood of any hospitalization was significantly lower in the treatment group versus the comparison group (odds ratio, 0.58; 95 percent confidence interval, 0.35 to 0.97, P=0.037). There were no significant differences in the likelihood of an ED visit between the treatment and comparison group caregivers. The average Medicare reimbursement during the study for caregivers in the comparison group was $1,804 (+$4,210) versus $1,123 (+$2,910) for caregivers in the treatment group. Results of the linear regression models revealed no significant differences in Medicare expenditures between the two groups during the evaluation study period. CONCLUSIONS: Nursing case management, education and support were effective in impacting the hospitalization rates of caregivers that were enrolled in the treatment group. While not statistically significant, the intervention reduced the total Medicare Part A expenditures for caregivers in the treatment group. AN: MN030101
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCaregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Siteen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160450-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schraeder, Cheryl</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value"> Health Systems Research Center, PO Box 538, Mahomet, IL, 61853, USA</td></tr><tr><td colspan="2" class="item-abstract">STUDY AIM: Medicare Alzheimer&rsquo;s Disease Demonstration and Evaluation was implemented in 1989 in eight national sites using a randomized design. One of the limitations of the MADDE analyses was that the evaluation did not examine the demonstration&rsquo;s effect on the caregiver&rsquo;s health care utilization or Medicare expenditures. The purpose of this study is to examine the effect of the Medicare Alzheimer&rsquo;s Disease Demonstration and Evaluation conducted in Illinois on the use of health services and Medicare expenditures by caregivers of persons with dementia. RESEARCH METHODOLOGY: This secondary analysis examined hospital and emergency department (ED) use and total Medicare Part A expenditures incurred by Illinois caregivers who participated in MADDE. The sample consisted of 412 caregivers (treatment group=210; control group=202) who were Medicare eligible at the time of enrollment. Multivariate logistic and linear regression models were used to test for treatment effects on the likelihood of hospital and ED use and total Medicare Part A expenditures. RESULTS AND FINDINGS: When the baseline differences between the groups were controlled for in the regression analyses, the likelihood of any hospitalization was significantly lower in the treatment group versus the comparison group (odds ratio, 0.58; 95 percent confidence interval, 0.35 to 0.97, P=0.037). There were no significant differences in the likelihood of an ED visit between the treatment and comparison group caregivers. The average Medicare reimbursement during the study for caregivers in the comparison group was $1,804 (+$4,210) versus $1,123 (+$2,910) for caregivers in the treatment group. Results of the linear regression models revealed no significant differences in Medicare expenditures between the two groups during the evaluation study period. CONCLUSIONS: Nursing case management, education and support were effective in impacting the hospitalization rates of caregivers that were enrolled in the treatment group. While not statistically significant, the intervention reduced the total Medicare Part A expenditures for caregivers in the treatment group. AN: MN030101 </td></tr></table>en_GB
dc.date.available2011-10-26T22:57:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:57:18Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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