By: Barsha Nandy  Aug. 13, 2020
Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Raleigh, NC, showed that UNC REX Hospital, Duke Raleigh Hospital, and WakeMed Cary Hospital 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 Carolina Medical Home Network, 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.
UNC REX Hospital's total cost of care over a 90-day episode was $15,928 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,970 and the average rehospitalization cost was $652. The cost per rehospitalization was at an average of $13,157. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $696.
The average home health cost per hospitalization when a home health agency is involved was $2,722. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for UNC REX Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $8,641. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Virginia Hospital Center were:
Duke Raleigh Hospital’s total cost of care over a 90-day episode was $18,478 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,034 and the average rehospitalization cost was $1,567. The cost per rehospitalization was at an average of $15,511. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $682.
The average home health cost per hospitalization when a home health agency is involved was $3,268. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Duke Raleigh Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,161. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Duke Raleigh Hospital were:
Wakemed Cary Hospital’s total cost of care over a 90-day episode was $18,506 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,932 and the average rehospitalization cost was $1,117. The cost per rehospitalization was at an average of $10,708. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $851.
The average home health cost per hospitalization when a home health agency is involved was $3,120. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Wakemed Cary Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,436. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Wakemed Cary Hospital were:
The detailed value outcomes and cost of care report for Hip and Knee Replacement in Raleigh, NC includes the following data points: