![]() If each person lived in the state only two years, it could mean hundreds of millions of dollars in potential reparations.Įligible Black residents shouldn’t expect cash payments anytime soon. That means nearly 80% of California’s 2.6 million Black residents would be eligible, an economist estimates. And only African American descendents from enslaved Americans are eligible - not other Black residents, such as more recent immigrants. Task force members said elderly people should have priority. How much might the state owe a person? The panel said it depends on how long and when they’ve lived in California. The data in Section 2 should help you see how your program compares to others in patient volume and staff size, to also help plan forward.Economic experts devised ways to calculate African Americans’ losses due to certain types of racial harm - such as health care disparities, discrimination in housing and mortgage lending, over-policing and over-incarceration, and devaluation of Black-owned businesses. ![]() Savings should significantly exceed costs and provide a basis for discussions about current and future budget investments to maintain quality care. Look at the difference between cost savings per patient and staffing costs per patient in Section 1. These savings are spread across numerous cost budgets in the hospital. The Impact Calculator helps demonstrate the likely impact of cost savings related to patient volume and investment in services. This was an important characteristic to be able to compare the direct cost of the total inpatient stay to the cost of a patient without palliative care. ![]() It is based on well-developed palliative care programs providing consultations completed within the first three days of hospital admission. The $3,237 per case savings (May et al, 2018) is a statistically significant reduction in direct costs from an analysis of more than 133,000 cases of patients with and without palliative care. See Section 5, Estimates of Direct Cost Savings for Inpatient Palliative Care Consult Services, for additional detail. This can be used to evaluate your program in relation to your peers, and help you plan forward. This tool also contains data comparing your program to hundreds of others on the proportion of hospital admissions receiving a palliative care consult (the program’s “penetration rate”) and team staffing. To estimate cost savings, the Impact Calculator uses the data you provide, the 2018 meta-analysis, and representative estimates of staff costs and billing revenue. Cost savings will vary by institution due to variations in cost structures, team composition, payer mix, and patient mix. Calculations assume that a team has a specialty-trained interdisciplinary staff to provide timely care for complex patients, including sufficient follow-ups. ![]() Palliative care team direct costs are likely to be reported as professional services expenses, and projected billing revenue is from Medicare Part B for professional services. Projected savings are reductions in direct hospital costs for Medicare Part A services. These cost savings, however, do not reflect the cost of the palliative care team staff or other long-term benefits, such as decreased hospital utilization after discharge. A 2018 meta-analysis demonstrated palliative care consultations conducted within three days of hospital admission were associated with a $3,237 reduction in direct hospital costs per patient (2015 inflation-adjusted dollars). Timely palliative care consultation impacts inpatient hospital costs.
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