By: Barsha Nandy  Aug. 11, 2020
Dexur’s analysis of medicare claims of hospitals within a 50-mile radius of Augusta, ME, showed that Mid Coast Hospital, Central Maine Medical Center, and MaineGeneral Medical Center had the best value outcomes over a 90 day episode for COPD. 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 Central Maine 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 190: Chronic Obstructive Pulmonary Disease with Major Complication or Comorbidity (MCC), to adjust for complications and comorbidities.
Mid Coast Hospital’s total cost of care over a 90 day episode was $15,408 (for the period between July 2016 and June 2019). The index hospitalization cost was $7,546 and the average rehospitalization cost per hospitalization was $4,809. The cost per rehospitalization was at an average of $15,126. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $893.
The average home health cost per hospitalization when a home health agency is involved was $3,222. The average cost per hospitalization for the top home health agency partner for COPD for Mid Coast Hospital was:
The average nursing home cost per hospitalization when a nursing home is involved was $9,080.
Central Maine Medical Center’s total cost of care over a 90 day episode was $15,520 (for the period between July 2016 and June 2019). The index hospitalization cost was $7,596 and the average rehospitalization cost per hospitalization was $4,738. The cost per rehospitalization was at an average of $15,417. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,068.
The average home health cost per hospitalization when a home health agency is involved was $2,778. The average cost per hospitalization for the top home health agency partner for COPD for Central Maine Medical Center was:
The average nursing home cost per hospitalization when a nursing home is involved was $10,741. The average cost per hospitalization for the top nursing home partners for COPD for Central Maine Medical Center were:
MaineGeneral Medical Center's Medical Center’s total cost of care over a 90 day episode was $18,024 (for the period between July 2016 and June 2019). The index hospitalization cost was $8,418 and the average rehospitalization cost per hospitalization was $6,385. The cost per rehospitalization was at an average of $17,588. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,247.
The average home health cost per hospitalization when a home health agency is involved was $2,617. The average cost per hospitalization for the top home health agency partner for COPD for MaineGeneral Medical Center was:
The average nursing home cost per hospitalization when a nursing home is involved was $8,982.
The detailed value outcomes and cost of care report for COPD in Augusta, ME, includes the following data points: