St. Joseph Hospital, Pen Bay Medical Center, and Northern Light Eastern Maine Medical Center have the best value outcomes for Hip and Knee Replacement in Bangor, ME

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By: Barsha Nandy  Jul. 23, 2020

Dexur’s analysis of Medicare claims of hospitals within a 50-mile radius of Bangor, ME, showed that St. Joseph Hospital, Pen Bay Medical Center, and Northern Light Eastern Maine Medical Center had the best value outcomes over a 90-day episode for Hip and Knee Replacement. 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 Community Care Partnership of Maine, LLC and Beacon Rural Health, 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, to adjust for complications and comorbidities.

The average cost of care over a 90-day episode for Hip & Knee Replacement in Maine was $22,245 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,266 and the average rehospitalization cost per hospitalization was $2,374. The cost per rehospitalization was at an average of $17,836. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $915.

The state average nursing home cost per hospitalization when a nursing home is involved was $17,836 and the average home health cost per hospitalization when a home health agency is involved was $915.

St. Joseph Hospital

St. Joseph Hospital’s total cost of care over a 90-day episode was $19,526 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,846 and the average rehospitalization cost was $1,102. The cost per rehospitalization was at an average of $14,806. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $828.

The average home health cost per hospitalization when a home health agency is involved was $3,387. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for St. Joseph Hospital were:

  1. Community Health & Counseling Services, Bangor, ME ($2,581)
  2. Northern Light Home Care & Hospice, So Portland, ME ($3,323)
  3. St Joseph Homecare, Bangor, ME ($3,494)
  4. Amedisys Maine, PLLC, Bangor, ME ($3,779)
  5. Kindred at Home, Bangor, ME ($4,058)

The average nursing home cost per hospitalization when a nursing home is involved was $9,532. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for St. Joseph Hospital were:

  1. Brewer Center for Health & Rehabilitation, Brewer, ME ($7,171)
  2. Ross Manor, Bangor, ME ($7,908)
  3. Bangor Nursing & Rehabilitation, Bangor, ME ($8,569)
  4. Stillwater Health Care, Bangor, ME ($9,373)
  5. Maine Veterans Home - Bangor, Bangor, ME ($13,550)

Pen Bay Medical Center

Pen Bay Medical Center’s total cost of care over a 90-day episode was $23,745 (for the period between July 2016 to June 2019). The index hospitalization cost was $16,345 and the average rehospitalization cost was $905. The cost per rehospitalization was at an average of $13,378. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $679.

The average home health cost per hospitalization when a home health agency is involved was $2,894. The average cost per hospitalization for the top home health agency partner for Hip and Knee Replacement for Pen Bay Medical Center was:

  1. MaineHealth Care at Home, Saco, ME ($2,834)

The average nursing home cost per hospitalization when a nursing home is involved was $6,848. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Pen Bay Medical Center were:

  1. The Gardens, Camden, ME ($5,830)
  2. Knox Center For Long Term Care, Rockland, ME ($6,644),

Northern Light Eastern Maine Medical Center

Northern Light Eastern Maine Medical Center’s total cost of care over a 90-day episode was $24,892 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,277 and the average rehospitalization cost was $3,002. The cost per rehospitalization was at an average of $16,242. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $992.

The average home health cost per hospitalization when a home health agency is involved was $3,423. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Northern Light Eastern Maine Medical Center were:

  1. Community Health & Counseling Services, Bangor, ME ($2,811)
  2. Northern Light Home Care & Hospice, So Portland, ME ($3,403)
  3. St Joseph Homecare, Bangor, ME ($3,717)
  4. Kindred at Home, Bangor, ME ($4,064)
  5. Amedisys Maine, PLLC, Bangor, ME ($4,338)

The average nursing home cost per hospitalization when a nursing home is involved was $13,969. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Northern Light Eastern Maine Medical Center were:

  1. Brewer Center for Health & Rehabilitation, Brewer, ME ($9,968)
  2. Stillwater Health Care, Bangor, ME ($10,584)
  3. Ross Manor, Bangor, ME ($10,991)
  4. Bangor Nursing & Rehabilitation, Bangor, ME ($13,003)
  5. Maine Veterans Home - Bangor, Bangor, ME ($15,130)

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

The detailed value outcomes and cost of care reports for Hip and Knee replacement in Bangor, ME, includes the following data points:

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