Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care
Publisher: Health Research and Educational Trust
Publication: HSR: Health Services Research
Author(s): Basu A, Kee R, Buchanan D, and Sadowski LS
The cost analysis of a housing and case management program for chronically ill homeless adults demonstrated an average annual savings for care. The study, however, was underpowered for the findings to reach statistical significance.
Participants of this study included 407 homeless adults with chronic medical illnesses who were randomly assigned to the usual care group (n=206) or the intervention group (n=201). The intervention included: interim housing at a respite center after hospital discharge, stable housing after recovery from hospitalizations, and case management based in study hospital, respite, and housing sites. Homeless adults were enrolled from two Chicago hospitals and were followed for 18 months. Using data from medical records, respite centers, jails, or prisons, interviews for days in nursing homes, shelters, substance abuse treatment centers, and case manager visits, total cost of care was assessed.
The intervention group had an average cost savings of $6,307 per person annually.
Further analysis showed that those who were chronically homeless had an average cost savings of $9,809 per person annually. Those with HIV had an average cost savings of $6,622 per person annually.
This study is the first cost analyses from a randomized controlled trial of homeless adults with chronic medical illness.
Special Issue of Health Services Research Links Health Care Research and Health Policy
1. Expanding the Safety-Net of Specialty Care for the Uninsured
2. Translation of Evidence-Based Clinical Standards into a New Prehospital Resuscitation Policy in Los Angeles
3. Physician Social Networks and Variation in Prostate Cancer Treatment in Three Cities
4. Value-Based Insurance Design
5. Is Patient Safety Improving?
6. The Association of Health Insurance and Disease Impairment with Reported Asthma Prevalence in U.S. Children
7. A Policy Impact Analysis of the Mandatory NCAA Sickle Cell Trait Screening Program
8. Nonfinancial Barriers and Access to Care for US Adults
9. Physician Practices and Readiness for Medical Home Reforms
10. Does a Video-Interpreting Network Improve Delivery of Care in the Emergency Department?
11. Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care
12. State-Level Variations in Racial Disparities in Life Expectancy
13. "Does this Doctor Speak My Language?"
Subscription required: Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care (Web)
Child and Family Well-Being
Philly Program Integrates Services in Care Homes for Low-Income, Chronically Ill Elderly
Network Coordinates Housing and Medical Services for Disabled and Chronically Ill Adults
Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons with Severe Alcohol Problems
The Homeless Families Program
Among Current and Former Welfare Recipients, Those With Physical and Mental Health Problems are More Likely to be Homeless