Article first published online: 21 APR 2010
Copyright © 2010 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 33, Issue 3, pages 235–242, June 2010
How to Cite
Marek, K. D., Adams, S. J., Stetzer, F., Popejoy, L. and Rantz, M. (2010), The relationship of community-based nurse care coordination to costs in the medicare and medicaid programs. Res. Nurs. Health, 33: 235–242. doi: 10.1002/nur.20378
This research was supported in part by a grant from the Centers for Medicaid and Medicare Services, Aging in Place: A new model for long term care, Grant 18-C-91036; University of Iowa Gerontological Nursing Interventions Research Center; Robert Wood Johnson Nurse Executive Fellows Program 2000 Cohort; and Self Management Science Center 1 P20NR010674-01.
The views expressed in this paper are those of the authors, and do not necessarily reflect the official position of the Centers for Medicare & Medicaid Services or the US Department of Health and Human Services.
- Issue published online: 17 MAY 2010
- Article first published online: 21 APR 2010
- Manuscript Accepted: 1 MAR 2010
- older adults;
- long term care;
- care coordination;
- home and community-based care;
- Medicaid costs;
- Medicare costs
The purpose of this evaluation was to study the relationship of nurse care coordination (NCC) to the costs of Medicare and Medicaid in a community-based care program called Missouri Care Options (MCO). A retrospective cohort design was used comparing 57 MCO clients with NCC to 80 MCO clients without NCC. Total cost was measured using Medicare and Medicaid claims databases. Fixed effects analysis was used to estimate the relationship of the NCC intervention to costs. Controlling for high resource use on admission, monthly Medicare costs were lower ($686) in the 12 months of NCC intervention (p = .04) while Medicaid costs were higher ($203; p = .03) for the NCC group when compared to the costs of MCO group. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:235–242, 2010