Case management and the cost of care in the last month of life: evidence from one managed care setting.
Elderly, functionally disabled enrollees in a managed care organization were randomly assigned to case management or regular care. The service use and cost of care for the last month life for the case managed deceased is compared with that of the regular care group. The results suggest that contrary to general expectation, the managed care clients experienced greater use and costs of care in the last month of life.
Long
M J
MJ
Department of Public Health Sciences, Wichita State University, Kansas, USA.
Marshall
B S
BS
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management / Q000191:economics*; D003363:Cost Control; D003362:Cost-Benefit Analysis; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D017048:Health Care Costs; D006304:Health Status; D017721:Hospital Costs; D006801:Humans; D016015:Logistic Models; D008297:Male; D008329:Managed Care Programs / Q000191:economics* / Q000706:statistics & numerical data; D016017:Odds Ratio; D009820:Ohio; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data