St. Vincent Healthcare and Billings Clinic Hospital have the best value outcomes for Hip and Knee Replacement in Billings, Montana

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By: Parvathy Rajagopal  Sep. 09, 2020

Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of Billings, Montana, showed that St. Vincent Healthcare and Billings Clinic Hospital had the best value outcomes over a 90 day episode for Hip & Knee replacement. 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 like Billings Clinic and Rocky Mountain Accountable Health Network, Inc., make appropriate referral 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.

St. Vincent Healthcare

St. Vincent Healthcare’s total cost of care over a 90 day episode was $17,690 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,008 and the average rehospitalization cost per hospitalization was $1,276. The cost per rehospitalization was at an average of $13,921. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $927.

The average home health cost per hospitalization when a home health agency is involved was $3,048. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for St. Vincent Healthcare were:

The average nursing home cost per hospitalization when a nursing home is involved was $12,098. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for St. Vincent Healthcare were:

Billings Clinic Hospital

Billings Clinic Hospital’s total cost of care over a 90 day episode was $20,683 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,408 and the average rehospitalization cost per hospitalization was $1,139. The cost per rehospitalization was at an average of $13,784. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,089.

The average home health cost per hospitalization when a home health agency is involved was $3,259. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Billings Clinic Hospital were:

The average nursing home cost per hospitalization when a nursing home is involved was $13,984. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Billings Clinic Hospital were:

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The detailed value outcomes and cost of care reports for Hip and Knee Replacement in Billings, MT, includes the following data points:

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