By: Barsha Nandy  Jul. 13, 2020
Dexur’s analysis of Medicare claims of hospitals within a 25-mile radius of Saratoga Springs, NY, showed that Saratoga Hospital had the best value outcomes over a 90-day episode for Hip and Knee Replacement, followed by Ellis Hospital and Glens Falls Hospital. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days, including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care data helps patients make appropriate choices and helps local ACOs such as Innovative Health Alliance of New York, LLC, make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients 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.
The average cost of care over a 90 day episode for Hip & Knee replacement in New York was $26,938 (for the period between July 2016 and June 2019). The index hospitalization cost was $18,423 and the average rehospitalization cost per hospitalization was $2,486. The cost per rehospitalization was at an average of $20,126. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $801.
The state average nursing home cost per hospitalization when a nursing home is involved was $11,503 and the average home health cost per hospitalization when a home health agency is involved was $3,626.
Saratoga Hospital’s total cost of care over a 90 day episode was $16,414 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,751 and the average rehospitalization cost per hospitalization was $1,250. The cost per rehospitalization was at an average of $10,984. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $758.
The average home health cost per hospitalization when a home health agency is involved was $2,792. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Saratoga Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,708. The average cost per hospitalization for the top nursing home partner for Hip & Knee replacement for Saratoga Hospital was:
Ellis Hospital’s total cost of care over a 90 day episode was $19,359 (for the period between July 2016 and June 2019). The index hospitalization cost was $13,833 and the average rehospitalization cost per hospitalization was $2,637. The cost per rehospitalization was at an average of $12,643. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $574.
The average home health cost per hospitalization when a home health agency is involved was $2,580. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Ellis Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $11,822. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Ellis Hospital were:
Glens Falls Hospital’s total cost of care over a 90 day episode was $19,608 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,732 and the average rehospitalization cost per hospitalization was $1,159. The cost per rehospitalization was at an average of $14,606. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $697.
The average home health cost per hospitalization when a home health agency is involved was $2,471. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Glens Falls Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,246. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Glens Falls Hospital were:
The detailed value outcomes and cost of care report for Hip and Knee Replacement in Saratoga Springs, NY, includes the following data points: