title: Geriatric versus non-geriatric approach of care to moderate Pra risk senior population.
abstract: A total of 432 members of Senior Dimensions, a second-generation social health maintenance organization, residing in northern Nevada were identified as moderate risk by P(ra) screening criteria for the time period of July 1, 2002, through June 30, 2003. Of these members, 166 were impaneled to a practice that only provides care for seniors (age 65 years or older), Geriatric Care of Nevada (GCN), and 266 members were impaneled to multiple primary care providers with standard community-based practices (non-GCN). An annualized cost comparison per unit of service provided as derived from the adjusted use data showed an average savings of $760.00 per member per year for the GCN over the non-GCN population. These savings have occurred apart from the provider fee reimbursement. This represents a potential savings of more than $760,000.00 per year per 1000 moderate P(ra) risk members within a Medicare managed care program.
authors.affiliation: Geriatric Care of Nevada, Reno, NV 89502, USA. stevenp@sierrahealth.com
authors.forename: Steven L
authors.initials: SL
authors.lastname: Phillips
authors.forename: Jeremy V
authors.initials: JV
authors.lastname: Phillips
authors.forename: Joann
authors.initials: J
authors.lastname: Branaman-Phillips
authors.forename: Denver J
authors.initials: DJ
authors.lastname: Miller
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003191:Comprehensive Health Care / Q000191:economics*; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D018588:Fee-for-Service Plans; D005260:Female; D015577:Geriatric Assessment; D005853:Geriatrics / Q000191:economics*; D017048:Health Care Costs; D019538:Health Care Surveys; D006279:Health Maintenance Organizations / Q000191:economics*; D006299:Health Services for the Aged / Q000191:economics*; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D008297:Male; D006278:Medicare / Q000191:economics; D009505:Nevada; D011320:Primary Health Care / Q000191:economics*; D018570:Risk Assessment; D012866:Skilled Nursing Facilities / Q000191:economics