Holy Redeemer Hospital, Thomas Jefferson University Hospital, and Aria Health had the lowest cost of care for hip and knee replacement in Philadelphia

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By: Barsha Nandy  May. 08, 2020

Dexur’s analysis of medicare claims of hospitals in Philadelphia showed that Holy Redeemer Hospital, Thomas Jefferson University Hospital, and Aria Health 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. The total cost of care helps patients make appropriate choices and helps local ACOs such as Einstien Care Partners, AllCare Health Alliance, and LHS Health Network LLC to 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.

Holy Redeemer Hospital

Holy Redeemer Hospital’s total cost of care over a 90-day episode was $18,574 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $11,331 and the average rehospitalization per hospitalization cost was $1,728. The readmission rate was 5.28% and the cost per rehospitalization was at an average of $17,286.

The home health agency discharge rate was 56.36% and the Average home health cost per hospitalization when a home health agency is involved is $658 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Holy Redeemer Hospital is:

The Skilled Nursing Facility (SNF) discharge rate was 40.91% and The Average Nursing home cost per hospitalization when a nursing home is involved is $3,385 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Holy Redeemer Hospital are:

The top surgeons who performed Hip & Knee Replacement surgeries at Holy Redeemer Hospital were:

  1. ROBERT E MANNHERZ
  2. SETH KRUM
  3. TODD DELL SCHWARTZ

Thomas Jefferson University Hospital

Thomas Jefferson University Hospital’s total cost of care over a 90-day episode was $20,377 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $15,362 and the average rehospitalization per hospitalization cost was $2,432. The readmission rate was 7.35 and the cost per rehospitalization was at an average of $21,076.

The home health agency discharge rate was 9.36% and the Average home health cost per hospitalization when a home health agency is involved is $874 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Thomas Jefferson University Hospital are:

  1. $2,748 for Main Line Health HomeCare & Hospice, Radnor, PA
  2. $3,121 for BAYADA Home Health Care, Cherry Hill, NJ
  3. $3,528 for Tri-County Home and Hospice Care, Millville, NJ
  4. $3,479 forMercy Home Health, Springfield, PA
  5. $3,712 for Bayada Home Health Care, Philadelphia, PA

The Skilled Nursing Facility (SNF) discharge rate was 10.4% and The Average Nursing home cost per hospitalization when a nursing home is involved is $3,385 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Thomas Jefferson University Hospital are:

  1. $9,706 for PowerBack Rehabilitation, Philadelphia, PA
  2. $10,228 for PowerBack Rehabilitation, Voorhees, NJ
  3. $12,373 for St. Monica Center For Rehabilitation & Healthcare, Philadelphia, PA
  4. $12,765 for The Watermark at Logan Square, Philadelphia, PA

The top surgeons who performed Hip & Knee Replacement surgeries at Thomas Jefferson University Hospital were:

  1. JAMES JOSEPH PURTILL
  2. WILLIAM JAMES HOZACK
  3. RICHARD HARRISON ROTHMAN

Aria Health

Aria Health’s total cost of care over a 90-day episode was $23,347 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $13,186 and the average rehospitalization per hospitalization cost was $3,542. The readmission rate was 11.16 and the cost per rehospitalization was at an average of $19,838.

The home health agency discharge rate was 26.34% and the Average home health cost per hospitalization when a home health agency is involved is $659 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Aria Health are:

  1. $3,425 for Abington - Jefferson Health, Willow Grove, PA
  2. $3,761 for Mercy Home Health, Springfield, PA
  3. $4,184 for Holy Redeemer Home Care & Hospice, Philadelphia, PA

The Skilled Nursing Facility (SNF) discharge rate was 10.4% and The Average Nursing home cost per hospitalization when a nursing home is involved is $3,385 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Aria Health are:

  1. $4,298 for Tcu At Nazareth Hospital, The, Phila, PA
  2. $8,594 for Angela Jane Pavilion, Philadelphia, PA
  3. $7,567 for St. Joseph Manor - Holy Redeemer, Meadowbrook, PA

The top surgeons who performed Hip & Knee Replacement surgeries at Aria Health were:

  1. WILLIAM VINCENT ARNOLD
  2. MARK DESMOND
  3. PAUL HOWARD STEINFIELD

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