Files and links (1)
Published, Version of Record (VoR)CC BY V4.0, Open
Journal article
Cost-Benefit Analysis of the COPE Program for Persons Living With Dementia: Toward a Payment Model
Innovation in aging, v 6(1), pp igab042-igab042
01 Jan 2022
PMID: 35047708
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background and Objectives There is a critical need for effective interventions to support quality of life for persons living with dementia and their caregivers. Growing evidence supports nonpharmacologic programs that provide care management, disease education, skills training, and support. This cost-benefit analysis examined whether the Care of Persons with Dementia in their Environments (COPE) program achieves cost savings when incorporated into Connecticut's home- and community-based services (HCBS), which are state- and Medicaid-funded. Research Design and Methods Findings are based on a pragmatic trial where persons living with dementia and their caregiver dyads were randomly assigned to COPE with HCBS, or HCBS alone. Cost measures included those relevant to HCBS decision makers: intervention delivery, health care utilization, caregiver time, formal care, and social services. Data sources included care management records and caregiver report. Results Per-dyad mean cost savings at 12 months were $2 354 for those who received COPE with a mean difference-in-difference of -$6 667 versus HCBS alone (95% CI: -$15 473, $2 734; not statistically significant). COPE costs would consume 5.6%-11.3% of Connecticut's HCBS annual spending limit, and HCBS cost-sharing requirements align with participants' willingness to pay for COPE. Discussion and Implications COPE represents a potentially cost-saving dementia care service that could be financed through existing Connecticut HCBS. HCBS programs represent an important, sustainable payment model for delivering nonpharmacological dementia interventions such as COPE.
Metrics
Details
- Title
- Cost-Benefit Analysis of the COPE Program for Persons Living With Dementia: Toward a Payment Model
- Creators
- Laura T. Pizzi - Rutgers, The State University of New JerseyEric Jutkowitz - Providence VA Medical CenterKatherine M. Prioli - Rutgers, The State University of New JerseyEmber (Yiwei) Lu - Rutgers, The State University of New JerseyZachary Babcock - Rutgers, The State University of New JerseyHeather McAbee-Sevick - University of ConnecticutDorothy B. Wakefield - University of ConnecticutJulie Robison - University of ConnecticutSheila Molony - Quinnipiac UniversityCatherine Piersol - Thomas Jefferson UniversityLaura N. Gitlin - Drexel UniversityRichard H. Fortinsky - University of Connecticut
- Publication Details
- Innovation in aging, v 6(1), pp igab042-igab042
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- R01AG044504 / National Institute on Aging of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000753583000010
- Scopus ID
- 2-s2.0-85141741862
- Other Identifier
- 991019168431804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology