UNC REX Hospital, Duke Raleigh Hospital, and WakeMed Cary Hospital have the best value outcomes for Hip and Knee Replacement in Raleigh, NC

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By: Barsha Nandy  Aug. 13, 2020

Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Raleigh, NC, showed that UNC REX Hospital, Duke Raleigh Hospital, and WakeMed Cary Hospital had the best value outcomes over a 90-day episode for Hip and Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days, including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care data helps patients make appropriate choices and helps local ACOs, such as Carolina Medical Home Network, make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 470: Major Joint Replacement or Reattachment of Lower Extremity without Major Complication or Comorbidity, to adjust for complications and comorbidities.

UNC REX Hospital

UNC REX Hospital's total cost of care over a 90-day episode was $15,928 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,970 and the average rehospitalization cost was $652. The cost per rehospitalization was at an average of $13,157. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $696.

The average home health cost per hospitalization when a home health agency is involved was $2,722. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for UNC REX Hospital were:

  1. Well Care Home Health, Raleigh, NC ($2,592)
  2. Liberty Home Care, Dunn, NC ($2,608)
  3. Rex Home Services, Raleigh, NC ($2,618)
  4. Liberty Home Care, LLC, Raleigh, NC ($2,652)
  5. Kindred at Home, Raleigh, NC ($3,698)

The average nursing home cost per hospitalization when a nursing home is involved was $8,641. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Virginia Hospital Center were:

  1. Rex Rehabilitation & Nursing Care Center, Raleigh, NC ($7,078)
  2. UNC REX Rehabilitation & Nursing Care Center of Apex, Apex, NC ($7,135)
  3. Hillcrest Raleigh at Crabtree Valley, Raleigh, NC ($10,689)

Duke Raleigh Hospital

Duke Raleigh Hospital’s total cost of care over a 90-day episode was $18,478 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,034 and the average rehospitalization cost was $1,567. The cost per rehospitalization was at an average of $15,511. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $682.

The average home health cost per hospitalization when a home health agency is involved was $3,268. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Duke Raleigh Hospital were:

  1. Liberty Home Care, LLC, Raleigh, NC ($3,127)
  2. Well Care Home Health, Raleigh, NC ($3,176)
  3. Kindred At Home, Youngsville, NC ($3,339)
  4. Brookdale Home Health Raleigh, Durham, NC ($3,480)
  5. Kindred at Home, Raleigh, NC ($3,497)

The average nursing home cost per hospitalization when a nursing home is involved was $9,161. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Duke Raleigh Hospital were:

  1. Rex Rehabilitation & Nursing Care Center, Raleigh, NC ($6,037)
  2. Hillside Nursing Center Of Wake Forest, Wake Forest, NC ($6,178)
  3. Capital Nursing And Rehabilitation Center, Raleigh, NC ($7,704)
  4. Hillcrest Raleigh at Crabtree Valley, Raleigh, NC ($10,145)
  5. Litchford Falls Healthcare, Raleigh, NC ($11,088)

Wakemed Cary Hospital

Wakemed Cary Hospital’s total cost of care over a 90-day episode was $18,506 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,932 and the average rehospitalization cost was $1,117. The cost per rehospitalization was at an average of $10,708. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $851.

The average home health cost per hospitalization when a home health agency is involved was $3,120. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Wakemed Cary Hospital were:

  1. Liberty Home Care, LLC, Raleigh, NC ($2,966)
  2. Kindred at Home, Raleigh, NC ($3,020)
  3. Rex Home Services, Raleigh, NC ($3,387)

The average nursing home cost per hospitalization when a nursing home is involved was $9,436. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Wakemed Cary Hospital were:

  1. UNC REX Rehabilitation & Nursing Care Center of Apex, Apex, NC ($8,066)
  2. Universal Health Care/Fuquay-Varina, Fuquay Varina, NC ($10,332)

To access the premium report, please email dexur@dexur.com for details

The detailed value outcomes and cost of care report for Hip and Knee Replacement in Raleigh, NC includes the following data points:

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