Home care cost-effectiveness for respiratory technology-dependent children

Am J Dis Child. 1991 Jul;145(7):729-33.


We evaluated home care costs and the cost-effectiveness of home care vs alternative institutional care for respiratory technology-dependent children in a Medicaid Model Waiver Program. "Cost-savings" was measured as the difference between the established Medicaid reimbursable charges to enact an individualized care plan at a long-term care institution and the actual Medicaid reimbursements for home care. Ten patients--six dependent on mechanical ventilation and four with a tracheostomy who were receiving oxygen--were included in the analysis. The mean (+/- SD) annual home care costs were $109,836 +/- $20,781 for ventilator-dependent children and $63,650 +/- $12,350 for oxygen-dependent patients with a tracheostomy, representing annual savings of approximately $79,000 per patient and $83,000 per patient, respectively. The largest portion of home care reimbursements was for nursing care, accounting for 69.0% and 59.0% of the two patient groups. The full program (50 patients) has the potential for a savings of $4 million per year.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Child
  • Child Health Services / economics*
  • Child, Preschool
  • Cost-Benefit Analysis
  • Costs and Cost Analysis
  • Home Care Services / economics*
  • Humans
  • Infant
  • Medicaid
  • Oxygen Inhalation Therapy
  • Respiration, Artificial
  • Respiratory Therapy / economics*
  • Tracheostomy
  • United States