Home Health Cost Savings Research

Substitutive home hospitalization reduced costs by 38%.

Hospital-Level Care at Home for Acutely Ill Adults
Annals of Internal Medicine (2020)

Findings: Substitutive home hospitalization reduced cost by 38% along with reduced health care use, and readmissions while increasing physical activity compared with usual hospital care.

Home care interventions are likely to be cost-saving and as effective as the hospital.

The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
International Journal of Environmental Research and Public Health (2023)

Findings: “Of the 14 studies identified, home care, when compared to hospital care, was cost-saving in seven studies, cost-effective in two and more effective in one. The evidence suggests that homecare interventions are likely to be cost-saving and as effective as hospital.”

Home-based palliative care consistently reduced the number of hospital visits and their length.

Impact of home-based palliative care on health care costs and hospital use: A systematic review
Palliative and Supportive Care (2021)

Findings: “In both oncological and non-oncological patients, HBPC consistently reduced the number of hospital visits and their length, as well as hospitalization costs and overall health care costs. Even though home-treated patients consumed more outpatient resources, a higher saving in the hospital costs counterbalanced this. The reduction in overall health care costs was most noticeable for study periods closer to death, with greater reductions in the last 2 months, last month, and last two weeks of life.”

Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility

JAMA Internal Medicine (2019)

Findings: “Discharging patients to home with home health care was associated with a higher 30-day rate of readmission but a significantly lower Medicare payment for initial postacute care and for the total 60-day episode of care including hospitalization, all postacute care, and subsequent readmissions. There were no significant differences in 30-day mortality rates or improved functional status.”

Adherence rates and health care costs in Crohn's disease patients receiving certolizumab pegol with and without home health nurse assistance: results from a retrospective analysis of patient claims and home health nurse data

Patient Preference and Adherence (2018)

Findings: Home health nurse assistance increases adherence to CZP and reduces health care costs in patients with Crohn's disease.

Impact of Home Health Care on Health Care Resource Utilization Following Hospital Discharge: A Cohort Study

The American Journal of Medicine (2018)

Findings: “Discharge with home health care was associated with significant reduction in healthcare utilization and decreased hazard of readmission and death.”

Value-based care through postacute home health under CMS PACT regulations

The American Journal of Managed Care (2022)

Findings: “The PACT policy may be promoting greater value by reducing readmissions while lowering total expenditures for patients who do not require intensive postacute care.”

Home health care and cardiac rehabilitation following major cardiac surgeries in Pakistan

Annals of Medicine and Surgery (2023)

Findings: "Home-based care can serve as a potentially easily accessible, cost-effective strategy to provide psychosocial support and ensure improved adherence among cardiac surgery patients, particularly in rural areas where patients who need specialized postoperative care often miss out on critical follow-ups. Additionally, it reduces health-related expenses associated with readmissions in impoverished nations where there is a lack of financial stability which highlights the need for these HBCR program initiatives.”

Impact of home-visit nursing service use on costs in the last 3 months of life among older adults: A retrospective cohort study

Journal of Nursing Scholarship (2023)

Findings: “Early initiation use of home-visit nursing services may contribute to reducing total costs in the last 3 months of life for Japanese people aged 75 years or older living at home as they approach the end of life.”

Home versus outpatient hospital intravenous immunoglobulin infusion and health care resource utilization

Journal of the American Pharmacists Association (2023)

Findings: “There may be value to increasing referrals for IVIG home infusion. Decreased health care utilization provides value to the system in cost savings and to patients and families owing to less disruption and improved clinical outcomes."

Optimizing the Medicare Home Health Benefit to Improve Outcomes and Reduce Disparities

Bipartisan Policy Center (2022)

Findings: “According to a study of Medicare fee-for-service beneficiaries, home care was associated with a savings of nearly $6,500 per patient.”

Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient Hospitalization

The American Journal of Accountable Care (2019)

Findings: “Risk-bearing healthcare organizations could use home-based alternatives to hospital admission as a means of providing high-quality care at a lower cost.”