HAL will be down for maintenance from Friday, June 10 at 4pm through Monday, June 13 at 9am. More information
Skip to Main content Skip to Navigation
Journal articles

Episode-of-Care Characteristics and Costs for Hip and Knee Replacement Surgery in Hospitals Belonging to the High Value Healthcare Collaborative Compared With Similar Hospitals in the Same Health Care Markets

Abstract : Background: To inform consumers and restrain health care cost growth, efforts to promote transparency and to reimburse for care episodes are accelerating in the United States. Objective: To compare characteristics and costs of 30-day episode of care for hip and knee replacement occurring in High Value Healthcare Collaborative (HVHC)-member hospitals to those occurring in like non–HVHC-member hospitals in the same 15 health care markets before interventions by HVHC members to improve health care value for those interventions. Research Design: This is a retrospective analysis of fee-for-service Medicare data from 2012 and 2013. Subjects: For hip arthroplasty, 4030 HVHC-member and 7572 non–HVHC-member, and for knee arthroplasty, 6542 HVHC-member and 13,900 non–HVHC-member fee-for-service Medicare patients aged 65 and older. Measures: Volumes, patient demographics, hospital stay characteristics, and acute and postacute care standardized costs for a 30-day episode of care. Results: HVHC-member hospitals differed from similar non–HVHC-member hospitals in the same health care markets when considering volumes of surgeries, patient demographics, Charlson scores, and patient distance to care during the index admission. There was little variation in acute care costs of hip or knee replacement surgery across health care markets; however, there was substantial variation in postacute care costs across those same markets. We saw less variation in postacute care costs within markets than across markets. Regression analyses showed that HVHC-member status was not associated with shorter lengths of stay, different complication rates, or lower total or postacute care costs for hip or knee replacement. Conclusions: Health care regions appear to be a more important predictor of episode costs of care than HVHC status.
Document type :
Journal articles
Complete list of metadata

https://hal-amu.archives-ouvertes.fr/hal-03590088
Contributor : Elisabeth Lhuillier Connect in order to contact the contributor
Submitted on : Saturday, February 26, 2022 - 4:23:23 PM
Last modification on : Sunday, February 27, 2022 - 3:28:03 AM

Links full text

Identifiers

Collections

Citation

William Weeks, William Schoellkopf, David Ballard, Gary Kaplan, Brent James, et al.. Episode-of-Care Characteristics and Costs for Hip and Knee Replacement Surgery in Hospitals Belonging to the High Value Healthcare Collaborative Compared With Similar Hospitals in the Same Health Care Markets. Medical Care, American Public Health Association, 2017, 55 (6), pp.583-589. ⟨10.1097/MLR.0000000000000710⟩. ⟨hal-03590088⟩

Share

Metrics

Record views

21