title: Cost analysis of a novel interdisciplinary model for advanced illness management.
abstract: OBJECTIVE
  This research project evaluated cost outcomes for patients in the @HOMe Support program, a novel interdisciplinary home-based program for patients and caregivers facing advanced illness drawing on the Chronic Care Model.
  
  
  METHODS
  Cost analysis involved paired sample t-tests to examine pre-post differences in health care expenditures obtained from Health Maintenance Organization (HMO) claims data for program participants.
  
  
  RESULTS
  Average 6-month costs per month significantly declined for patients older than 65 years of age from 1 HMO (US$9300-US$5900, P = .001). Evaluation of the second HMO showed that patients less than 65 years of age with lower preentry costs (<70 000) had a nonsignificant decline in total costs (US$18 787-US$13 781, P = .08).
  
  
  CONCLUSIONS
  Study findings suggest @HOMe Support is associated with reductions in the use and cost for most health services over time.
authors.affiliation: School of Social Work, Wayne State University, Detroit, MI, USA bb2938@wayne.edu.
authors.forename: Faith P
authors.initials: FP
authors.lastname: Hopp
authors.affiliation: School of Social Work, Wayne State University, Detroit, MI, USA.
authors.forename: Eileen
authors.initials: E
authors.lastname: Trzcinski
authors.affiliation: Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.
authors.forename: Roxanne
authors.initials: R
authors.lastname: Roth
authors.affiliation: Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Deremo
authors.affiliation: Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.
authors.forename: Evan
authors.initials: E
authors.lastname: Fonger
authors.affiliation: Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.
authors.forename: Sokchay
authors.initials: S
authors.lastname: Chiv
authors.affiliation: Maggie Allesee Center for Innovation, Hospice of Michigan, Detroit, MI, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Paletta
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000191:economics* / Q000628:therapy*; D003365:Costs and Cost Analysis; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012189:Retrospective Studies; D012959:Socioeconomic Factors
keywords: advanced illness management; caregiver; chronic care; cost analysis; hospice; palliative care