By: Barsha Nandy  Aug. 10, 2020
Dexur’s analysis of Medicare claims of hospitals within a 50-mile radius of Du Bois, PA, showed that Penn Highlands DuBois had the best value outcomes over a 90 day episode for Heart Failure, followed by UPMC Altoona. 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 make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 291: Heart Failure and Shock with Major Complication or Comorbidity, to adjust for complications and comorbidities.
Penn Highlands Dubois’ total cost of care over a 90 day episode was $27,568 (for the period between July 2016 and June 2019). The index hospitalization cost was $8,132 and the average rehospitalization cost per hospitalization was $13,316. The cost per rehospitalization was at an average of $26,553. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,069.
The average home health cost per hospitalization when a home health agency is involved was $2,800. The average cost per hospitalization for the top home health agency partners for Heart Failure for Penn Highlands Dubois were:
The average nursing home cost per hospitalization when a nursing home is involved was $11,654. The average cost per hospitalization for the top nursing home partners for Heart Failure for Penn Highlands Dubois were:
UPMC Altoona’s total cost of care over a 90 day episode was $29,914 (for the period between July 2016 and June 2019). The index hospitalization cost was $9,767 and the average rehospitalization cost per hospitalization was $15,771. The cost per rehospitalization was at an average of $28,800. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,010.
The average home health cost per hospitalization when a home health agency is involved was $3,313. The average cost per hospitalization for the top home health agency partner for Heart Failure for UPMC Altoona was:
The average nursing home cost per hospitalization when a nursing home is involved was $12,449. The average cost per hospitalization for the top nursing home partners for Heart Failure for UPMC Altoona were:
The detailed value outcomes and cost of care report for Heart Failure in Du Bois, PA, includes the following data points: