Publications
Medicare expenditures attributable to dementia
This article estimates dementia's incremental cost to the traditional Medicare program. The authors compared Medicare expenditures for 60 months following a claims-based dementia diagnosis to those for a randomly selected, matched comparison group. Dementia's five-year incremental cost to the traditional Medicare program is approximately $15 700 per patient, nearly half of which is incurred in the first year after diagnosis. Increased costs for individuals with dementia were driven by more intensive use of Medicare part A covered services.
White, L, P Fishman, A Basu, EB Larson, NB Coe, “Medicare Expenditures Attributable to Dementia.” Health Services Research. 2019. P 1-9
Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility
This article examines how patient outcomes and Medicare spending are affected by the decision to discharge patients to home with home health care vs to a skilled nursing facility for postacute care. The authors find that among Medicare beneficiaries eligible for postacute care at home or in a skilled nursing facility, discharge to home with home health care was associated with higher rates of readmission, no detectable differences in mortality or functional outcomes, and lower Medicare payments.
Werner, R.M., NB Coe, M. Qi, and R.T. Konetzka. “Patient Outcomes after Hospital Discharge to Home with Home Health Care Vs to a Skilled Nursing Facility.” JAMA Internal Medicine. Forthcoming. 2019. March. https://doi.org/10.1001/jamainternmed.2018.7998
Health Insurance and Out-of-Pocket Costs in the Last Year of Life Among Decedents Utilizing the ICU
This article estimates out-of-pocket costs in the last year of life for individuals who required intensive care in the months prior to death and examine how these costs vary by insurance coverage.
Khandelwal, N, L White, J Curtis, NB Coe, “Health Insurance and Out-of-Pocket Costs in the Last Year of Life among Decedents Utilizing the ICU” Critical Care Medicine. 2019. March 1. PMID: 30889026
A Comprehensive Measure of the Costs of Caring for a Parent: Differences According to Functional Status
Coe, NB, M.M. Skira, and E.B. Larson. “A Comprehensive Measure of the Costs of Caring for a Parent: Differences According to Functional Status.” Journal of the American Geriatrics Society 2018. 66(10). PMCID: PMC6181761
Evaluating the Economic Impact of Palliative and End-of-Life Care Interventions on Intensive Care Unit Utilization and Costs from the Hospital and Healthcare System Perspective
Khandelwal, N, LC Brumback, SD Halpern, NB Coe, B Brumback, JR Curtis. “Evaluating the Economic Impact of Palliative and End-of-Life Care Interventions on ICU Utilization and Costs from the Hospital and Healthcare System Perspective.” Journal of Palliative Medicine. 2017. Dec; 20(12):1314-1320. DOI: 10.1089/jpm.2016.0548. PMID: 28972860.
How Can Adult Children Influence Parents’ Long-Term Care Insurance Purchase Decisions?
Khandelwal N, D Benkeser, NB Coe, RA Engelberg, JM Teno, JR Curtis. “Patterns of Cost for Patients Dying in the ICU and Implications for Cost Savings of Palliative Care Interventions.” Journal of Palliative Medicine. 2016. November, 19(11): 1171-1178. doi:10.1089/jpm.2016.0133.
Patterns of Cost for Patients Dying in the ICU and Implications for Cost Savings of Palliative Care Interventions
Khandelwal N, D Benkeser, NB Coe, RA Engelberg, JM Teno, JR Curtis. “Patterns of Cost for Patients Dying in the ICU and Implications for Cost Savings of Palliative Care Interventions.” Journal of Palliative Medicine. 2016. November, 19(11): 1171-1178. doi:10.1089/jpm.2016.0133.
Geographic Migration Among Residents in Seniors Housing and Care Communities: Evidence From the Residents Financial Survey
Coe, NB, and AY Wu. “Geographic Migration among Residents in Seniors Housing and Care Communities: Evidence from the Residents Financial Survey.” Journal of Housing for the Elderly. 2016. 30(3): 312-329, DOI: 10.1080/02763893.2016.1198741
Potential Influence of Advance Care Planning and Palliative Care Consultation on ICU Costs for Patients with Chronic and Serious Illness
Khandelwal, N, D Benkeser, NB Coe, R Engelberg, JR Curtis. “Potential Influence of Advance Care Planning and Palliative Care Consultation on ICU Costs for Patients with Chronic and Serious Illness.” Critical Care Medicine. 44(8) 2016.p1474-1481. PMID: 26974536.
Estimating the Effect of Palliative Care Interventions and Advance Care Planning on ICU Utilization: A Systematic Review
Khandelwal, N, EK Kross, RA. Engelberg, NB Coe, AC Long, JR Curtis. “Estimating the Effect of Palliative Care Interventions and Advance Care Planning on ICU Utilization: A Systematic Review.” Critical Care Medicine. 2015. May; 43(5): 1102-11. PMID:25574794