Why and How to Demonstrate the Value of Rehabilitation Services

Arch Phys Med Rehabil. 2022 Jul;103(7S):S172-S177. doi: 10.1016/j.apmr.2021.06.028. Epub 2021 Aug 15.

Abstract

The health care delivery landscape in the United States is changing as payment models consider both costs and health outcomes, which are key components of value in health care. Without evidence about the effectiveness and costs of rehabilitation interventions, it is difficult to judge the value of rehabilitation interventions. Understanding the short- and long-term costs associated with implementing a rehabilitation intervention and the intervention's cost-effectiveness compared with other alternatives is critical to supporting decision-making by policymakers, health care administrators, and other decision makers. This article describes the policy context for considering the costs and outcomes of postacute care and rehabilitation interventions, introduces methods for assessing the value of rehabilitation interventions, and summarizes the challenges and opportunities associated with applying value measurement to rehabilitation services. Assessing the value of rehabilitation interventions is critical as we continue to identify, implement, and sustain evidence-based interventions that promote the health and function of people with disabilities.

Keywords: Costs and cost analysis; Health policy; Rehabilitation.

MeSH terms

  • Evidence-Based Medicine*
  • Health Policy*
  • Humans
  • Subacute Care
  • United States