Systems Delivery Innovation for Alzheimer Disease.
Alzheimer disease
Care design
care delivery
healthcare policy
high-value care
Journal
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
ISSN: 1545-7214
Titre abrégé: Am J Geriatr Psychiatry
Pays: England
ID NLM: 9309609
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
30
06
2018
revised:
22
09
2018
accepted:
24
09
2018
pubmed:
28
11
2018
medline:
1
4
2020
entrez:
28
11
2018
Statut:
ppublish
Résumé
The authors describe a comprehensive care model for Alzheimer disease (AD) that improves value within 1-3 years after implementation by leveraging targeted outpatient chronic care management, cognitively protective acute care, and timely caregiver support. Using current best evidence, expert opinion, and macroeconomic modeling, the authors designed a comprehensive care model for AD that improves the quality of care while reducing total per capita healthcare spending by more than 15%. Cost savings were measured as reduced spending by payers. Cost estimates were derived from medical literature and national databases, including both public and private U.S. payers. All estimates reflect the value in 2015 dollars using a consumer price index inflation calculator. Outcome estimates were determined at year 2, accounting for implementation and steady-state intervention costs. After accounting for implementation and recurring operating costs of approximately $9.5 billion, estimated net cost savings of between $13 and $41 billion can be accomplished concurrently with improvements in quality and experience of coordinated chronic care ($0.01-$6.8 billion), cognitively protective acute care ($8.7-$26.6 billion), timely caregiver support ($4.3-$7.5 billion), and caregiver efficiency ($4.1-$7.2 billion). A high-value care model for AD may improve the experience of patients with AD while significantly lowering costs.
Identifiants
pubmed: 30477913
pii: S1064-7481(18)30494-9
doi: 10.1016/j.jagp.2018.09.015
pmc: PMC6331256
mid: NIHMS1514410
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
149-161Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001085
Pays : United States
Informations de copyright
Copyright © 2018 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
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