A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care

Abstract This two-arm randomized controlled trial evaluated the impact of a Stepped-Care intervention (predictive analytics combined with tailored interventions) on the healthcare costs of older adults using a Personal Emergency Response System (PERS). A total of 370 patients aged 65 and over with h...

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Autores principales:	Mariana Nikolova-Simons, Sara Bersche Golas, Jorn op den Buijs, Ramya S. Palacholla, Gary Garberg, Allison Orenstein, Joseph Kvedar
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/6ae68be515a74c42976db360ccf07753
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spelling	oai:doaj.org-article:6ae68be515a74c42976db360ccf077532021-12-02T15:57:21ZA randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care10.1038/s41746-021-00449-w2398-6352https://doaj.org/article/6ae68be515a74c42976db360ccf077532021-06-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00449-whttps://doaj.org/toc/2398-6352Abstract This two-arm randomized controlled trial evaluated the impact of a Stepped-Care intervention (predictive analytics combined with tailored interventions) on the healthcare costs of older adults using a Personal Emergency Response System (PERS). A total of 370 patients aged 65 and over with healthcare costs in the middle segment of the cost pyramid for the fiscal year prior to their enrollment were enrolled for the study. During a 180-day intervention period, control group (CG) received standard care, while intervention group (IG) received the Stepped-Care intervention. The IG had 31% lower annualized inpatient cost per patient compared with the CG (3.7 K, $8.1 K vs. $11.8 K, p = 0.02). Both groups had similar annualized outpatient costs per patient ($6.1 K vs. $5.8 K, p = 0.10). The annualized total cost reduction per patient in the IG vs. CG was 20% (3.5 K, $17.7 K vs. $14.2 K, p = 0.04). Predictive analytics coupled with tailored interventions has great potential to reduce healthcare costs in older adults, thereby supporting population health management in home or community settings.Mariana Nikolova-SimonsSara Bersche GolasJorn op den BuijsRamya S. PalachollaGary GarbergAllison OrensteinJoseph KvedarNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Mariana Nikolova-Simons Sara Bersche Golas Jorn op den Buijs Ramya S. Palacholla Gary Garberg Allison Orenstein Joseph Kvedar A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
description	Abstract This two-arm randomized controlled trial evaluated the impact of a Stepped-Care intervention (predictive analytics combined with tailored interventions) on the healthcare costs of older adults using a Personal Emergency Response System (PERS). A total of 370 patients aged 65 and over with healthcare costs in the middle segment of the cost pyramid for the fiscal year prior to their enrollment were enrolled for the study. During a 180-day intervention period, control group (CG) received standard care, while intervention group (IG) received the Stepped-Care intervention. The IG had 31% lower annualized inpatient cost per patient compared with the CG (3.7 K, $8.1 K vs. $11.8 K, p = 0.02). Both groups had similar annualized outpatient costs per patient ($6.1 K vs. $5.8 K, p = 0.10). The annualized total cost reduction per patient in the IG vs. CG was 20% (3.5 K, $17.7 K vs. $14.2 K, p = 0.04). Predictive analytics coupled with tailored interventions has great potential to reduce healthcare costs in older adults, thereby supporting population health management in home or community settings.
format	article
author	Mariana Nikolova-Simons Sara Bersche Golas Jorn op den Buijs Ramya S. Palacholla Gary Garberg Allison Orenstein Joseph Kvedar
author_facet	Mariana Nikolova-Simons Sara Bersche Golas Jorn op den Buijs Ramya S. Palacholla Gary Garberg Allison Orenstein Joseph Kvedar
author_sort	Mariana Nikolova-Simons
title	A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
title_short	A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
title_full	A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
title_fullStr	A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
title_full_unstemmed	A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
title_sort	randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6ae68be515a74c42976db360ccf07753
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A randomized trial examining the effect of predictive analytics and tailored interventions on the cost of care

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