Telemonitoring in elderly patients with heart failure significantly reduced the probability of all-cause hospital admission (OR 0.77; P<0.01) and 30-day readmission (OR 0.56; P<0.05).
Observational
Does a telemonitoring program reduce all-cause hospital admission rates, readmission rates, and total cost of care in elderly Medicare Advantage patients with heart failure?
A telemonitoring program for elderly heart failure patients significantly reduced all-cause admissions, 30- and 90-day readmissions, and total cost of care, yielding a positive return on investment.
Odds Ratio: 0.77
p-value: p=<0.01
Telemonitoring provides a potentially useful tool for disease and case management of those patients who are likely to benefit from frequent and regular monitoring by health care providers. Since 2008, Geisinger Health Plan (GHP) has implemented a telemonitoring program that specifically targets those members with heart failure. This study assesses the impact of this telemonitoring program by examining claims data of those GHP Medicare Advantage plan members who were enrolled in the program, measuring its impact in terms of all-cause hospital admission rates, readmission rates, and total cost of care. The results indicate significant reductions in probability of all-cause admission (odds ratio OR 0.77; P<0.01), 30-day and 90-day readmission (OR 0.56, 0.62; P<0.05), and cost of care (11.3%; P<0.05). The estimated return on investment was 3.3. These findings imply that telemonitoring can be an effective add-on tool for managing elderly patients with heart failure.
Maeng et al. (Tue,) conducted a observational in Heart failure. Telemonitoring was evaluated on All-cause hospital admission (OR 0.77, p=<0.01). Telemonitoring in elderly patients with heart failure significantly reduced the probability of all-cause hospital admission (OR 0.77; P<0.01) and 30-day readmission (OR 0.56; P<0.05).
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