AI Article Synopsis
- Community-based palliative care (CBPC) can improve patient outcomes and significantly reduce healthcare spending, but its impact in California has not been fully assessed.
- By 2022, it's estimated that if over 100,000 Californians accessed CBPC annually, it could lead to nearly $1.1 billion in savings, highlighting the financial benefits of such programs.
- Overall, implementation of CBPC can align with patient preferences while cutting hospital costs by more than $5.5 billion over eight years.
Article Abstract
Background: Community-based palliative care can improve outcomes and avoid unnecessary spending, but the effects of its widespread adoption on health care spending in California is unknown.
Objective: To estimate the spending avoided if, by 2022, more than 100,000 Californians received community-based palliative care (CBPC) per year.
Design: We estimated the 6-month per-patient spending avoided through three mature CBPC programs in California and extrapolated data to predict the total avoided spending statewide over 8 years if enrollment in the three programs proceeded according to our model.
Results: If Californians participated in CBPC in the numbers envisioned, in 2014 there would have been a $72 million reduction in intensive hospital based care, while still respecting patients' wishes, and nearly $1.1 billion in spending could be avoided in 2022. Overall hospital spending would be reduced by more than $5.5 billion through 2022.
Conclusions: Existing CBPC programs have the potential to provide care that is both in alignment with patients' wishes and avoids substantial amounts of unnecessary hospital-based spending.
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| http://dx.doi.org/10.1089/jpm.2015.0046 | DOI Listing |
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