Dexur’s analysis of medicare claims of hospitals in Milwaukee Area, WI, showed that Columbus Community Hospital, Orthopaedic Hospital of Wisconsin, and Aurora Medical Center Washington County had the lowest cost of care over a 90 day episode for Hip & Knee replacement. The episode of care tracks a patient journey from the date of admission for 90 days includes the index hospitalizations, rehospitalization, home health, nursing home and ED costs. Total cost of care helps patients make appropriate choices and helps local ACOs such as Froedtert & The Medical College of Wisconsin ACO LLC and Accountable Care Organization of Aurora make appropriate referrals choices. The analysis was risk adjusted and was done at the DRG level, specifically DRG 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC) to adjust for complications and comorbidities.

Columbus Community Hospital’s total cost of care over a 90 day episode was $8,904 (for the period between April 2016 and March 2019). The index hospitalization cost was $5,629 and the average rehospitalization cost was $1,071. The readmission rate was 5.38% and the cost per rehospitalization was at an average of $10,677.

The average home health cost per hospitalization when a home health agency is involved was $4,029. The Skilled Nursing Facility (SNF) discharge rate was 7.17% and the average nursing home cost per hospitalization when a nursing home is involved was $13,538. The average cost per hospitalization for the top nursing home partner for Hip & Knee replacement for Columbus Community Hospital was:

Orthopaedic Hospital of Wisconsin’s total cost of care over a 90 day episode was $12,728 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,851 and the average rehospitalization cost was $1,141. The readmission rate was 2.8% and the cost per rehospitalization was at an average of $17,545.

The home health agency discharge rate was 5.34% and the average home health cost per hospitalization when a home health agency is involved was $3,033. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Orthopaedic Hospital of Wisconsin were:

The Skilled Nursing Facility (SNF) discharge rate was 19.51% and the average nursing home cost per hospitalization when a nursing home is involved was $6,756. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Orthopaedic Hospital of Wisconsin were:

The top surgeons who performed Hip & Knee Replacement surgeries at Orthopaedic Hospital of Wisconsin were:

Aurora Medical Center Washington County’s total cost of care over a 90 day episode was $12,896 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,463 and the average rehospitalization cost was $1,063, while the cost per rehospitalization was at an average of $9,770.

The home health agency discharge rate was 44.04% and the average home health cost per hospitalization when a home health agency is involved was $3,113. The average cost per hospitalization for the top home health agency partner for Hip & Knee replacement for Aurora Medical Center Washington County was:

The Skilled Nursing Facility (SNF) discharge rate was 10.88% and the average nursing home cost per hospitalization when a nursing home is involved was $8,025.

The top surgeons who performed Hip & Knee Replacement surgeries at Aurora Medical Center Washington County were: