HSS, Lenox Hill Hospital, and NYP Weill Cornell Medical Center have the best value outcomes for Spine Surgeries in New York, NY



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By: Barsha Nandy  Jul. 20, 2020

Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of New York, NY, showed that Hospital for Special Surgery, Lenox Hill Hospital, and NewYork-Presbyterian/Weill Cornell Medical Center had the best value outcomes over a 90 day episode for Spine Surgeries. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. Total cost of care data helps patients make appropriate choices and helps local ACOs, such as NewYork Quality Care, FamilyHealth ACO, LLC, Alliance for Integrated Care of New York, LLC, and HHC ACO, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 460: Spinal Fusion Except Cervical without Major Complication or Comorbidity, to adjust for complications and comorbidities.

The study included hospitals with more than 150 medicare hospitalizations in a 3 year period and only 6 hospitals made these criteria. The median cost was assumed to be the lower cost of the 3rd & 4th highest cost hospitals. Therefore, the median was the same as the number 3 ranked hospital - NYP Weill Cornell at $55,079/hospitalization.

Hospital for Special Surgery

Hospital for Special Surgery’s total cost of care over a 90 day episode was $47,727 (for the period between July 2016 and June 2019). The index hospitalization cost was $39,410 and the average rehospitalization cost per hospitalization was $4,876. The cost per rehospitalization was at an average of $28,952. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $658.

The average home health cost per hospitalization when a home health agency is involved was $2,931. The average cost per hospitalization for the top home health agency partners (based on cost per episode) for Spine Surgeries for HSS were:

  1. Atlantic Home Care & Hospice, Morristown, NJ ($2,616)
  2. VNS & Hospice of Suffolk, Northport, NY ($2,785)
  3. VNA of Central Jersey Home Care & Hospice, Toms River, NJ ($2,803)
  4. Visiting Nurse Service of New York, New York, NY ($2,822)

The average nursing home cost per hospitalization when a nursing home is involved was $13,028.

Lenox Hill Hospital

Lenox Hill Hospital’s total cost of care over a 90 day episode was $51,159 (for the period between July 2016 and June 2019). The index hospitalization cost was $42,152 and the average rehospitalization cost per hospitalization was $3,232. The cost per rehospitalization was at an average of $20,702. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $846.

The average home health cost per hospitalization when a home health agency is involved was $3,156. The average cost per hospitalization for the top home health agency partners (based on cost per episode) for Spine Surgeries for Lenox Hill Hospital were:

  1. North Shore Home Care, Westbury, NY ($2,726)
  2. Visiting Nurse Service of New York, New York, NY ($2,801)

The average nursing home cost per hospitalization when a nursing home is involved was $16,584.

NewYork-Presbyterian/Weill Cornell Medical Center

NYP Weill Cornell Medical Center’s total cost of care over a 90 day episode was $55,079 (for the period between July 2016 and June 2019). The index hospitalization cost was $42,334 and the average rehospitalization cost per hospitalization was $6,858. The cost per rehospitalization was at an average of $31,189. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $961.

The average home health cost per hospitalization when a home health agency is involved was $3,323. The average cost per hospitalization for the top home health agency partners (based on cost per episode) for Spine Surgeries for NYP Weill Cornell Medical Center were:

  1. Visiting Nurse Service of New York, New York, NY ($3,349)
  2. MJHS Health System, Brooklyn, NY ($3,447)

The average nursing home cost per hospitalization when a nursing home is involved was $20,895.

To access the premium report, please email dexur@dexur.com for details

The detailed value outcomes and cost of care reports for Spine Surgeries in New York, NY, includes the following data points: