Hospital for Special Surgery, Lenox Hill Hospital & NYU Langone's Tisch Hospital had the Lowest Cost of Care for Hip & Knee Replacement in New York City



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By: Barsha Nandy  May. 14, 2020

Dexur’s analysis of medicare claims of hospitals in New York City showed that Hospital for Special Surgery, Lenox Hill Hospital & NYU Langone's Tisch Hospital 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 New York Quality Care, Family Health ACO, Community Care of Brooklyn, Richmond Quality, The Physicians Alliance, Alliance for Integrated Care of New York, and HHC ACO 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.

Hospital for Special Surgery

Hospital for Special Surgery’s total cost of care over a 90-day episode was $19,970 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $13,843 and the average rehospitalization cost was $1,680. The readmission rate was 6.17 and the cost per rehospitalization was at an average of $18,480.

The home health agency discharge rate was 70.36 and the Average home health cost per hospitalization when a home health agency is involved is $3,888 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Hospital for Special Surgery are:

  1. $3,474 for Atlantic Home Care & Hospice, Morristown, NJ
  2. $3,648 for VNS & Hospice of Suffolk, Northport, NY
  3. $3,690 for VNA of Central Jersey Home Care & Hospice, Toms River, NJ
  4. $3,750 for Archcare at Home, Valhalla, NY
  5. $4,017 for Visiting Nurse Service of New York, New York, NY

The nursing home discharge rate was 19.95 and the average nursing home cost per hospitalization when a nursing home is involved is $7,695 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Hospital for Special Surgery are:

  1. $4,375 for Helen Hayes Hospital, West Haverstraw, NY
  2. $5,376 for Northwell Health Stern Family Center for Rehabilitation, Manhasset, NY
  3. $6,835 for Amsterdam Nursing Home, New York, NY
  4. $7,200 for ArchCare at Mary Manning Walsh Home, New York, NY
  5. $9,423 for Upper East Side Rehabilitation and Nursing Center, New York, NY

The surgeons with the highest case volume of Hip & Knee Replacement surgeries at HSS were:

  1. MICHAEL BRIAN CROSS
  2. AMAR S. RANAWAT
  3. GEOFFREY H. WESTRICH

Lenox Hill Hospital

Lenox Hill Hospital’s total cost of care over a 90-day episode was $25,066 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $16,256 and the average hospitalization cost was $1,900. The readmission rate was 5.51 and the cost per rehospitalization was at an average of $19,911.

The home health agency discharge rate was 56.06 and the Average home health cost per hospitalization when a home health agency is involved is $3,722 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Lenox Hill Hospital are:

  1. $2,854 for Archcare at Home, Valhalla, NY
  2. $3,444 for Visiting Nurse Service of New York, New York, NY
  3. $3,617 for North Shore Home Care, Westbury, NY
  4. $3,785 for Girling Health Care of New York, Brooklyn, NY
  5. $4,344 for Long Island Jewish Medical Center, New Hyde Park, NY

The nursing home discharge rate was 24.76 and the average nursing home cost per hospitalization when a nursing home is involved is $13,820 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Lenox Hill Hospital are:

  1. $13,249 for Queens Boulevard Extended Care Facility, Woodside, NY
  2. $14,237 for ArchCare at Mary Manning Walsh Home, New York, NY
  3. $15,112 for Village Care Rehabilitation and Nursing Center, New York, NY
  4. $15,367 for Upper East Side Rehabilitation and Nursing Center, New York, NY

The surgeons with the highest case volume of Hip & Knee Replacement surgeries at Lenox Hill Hospital were:

  1. JOSE ANTONIO RODRIGUEZ (Dr. Rodriguez moved to HSS in 2017)
  2. MATTHEW STEWART HEPINSTALL
  3. STEPHEN J NICHOLAS

NYU Langone's Tisch Hospital

NYU Langone's Tisch Hospital’s total cost of care over a 90-day episode was $26,288 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $19,297 and the average hospitalization cost was $1,821. The readmission rate was 5.38 and the cost per rehospitalization was at an average of $22,722.

The home health agency discharge rate was 72.86 and the Average home health cost per hospitalization when a home health agency is involved is $4,205 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for NYU Langone's Tisch Hospital are:

  1. $3,640 for Archcare at Home, Valhalla, NY
  2. $3,771 for Visiting Nurse Services in Westchester, White Plains, NY
  3. $4,194 for Centers Home Health Care of Downstate, Brooklyn, NY
  4. $4,229 for Visiting Nurse Service of New York, New York, NY
  5. $4,939 for Constellation HomeCare, Syosset, NY

The nursing home discharge rate was 14.4 and the average nursing home cost per hospitalization when a nursing home is involved is $10,904 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for NYU Langone's Tisch Hospital are:

  1. $7,503 for Northwell Health Stern Family Center for Rehabilitation, Manhasset, NY
  2. $8,318 for New Gouverneur Hospital S N F, New York, NY
  3. $9,540 for ArchCare at Mary Manning Walsh Home, New York, NY
  4. $11,016 for Village Care Rehabilitation and Nursing Center, New York, NY
  5. $13,937 for Menorah Center for Rehabilitation and Nursing Care, Brooklyn, NY

The surgeons with the highest case volume of Hip & Knee Replacement surgeries at NYU Langone's Tisch Hospital were:

  1. ROY I DAVIDOVITCH
  2. PATRICK ANDREAS MEERE
  3. SCOTT E MARWIN

FOR DEXUR PRO MEMBERS ONLY:

The detailed cost of care report of the top nine most cost-efficient hospitals in New York City (Apr 2016 to Mar 2019), including data with respect to the following: