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Journal of Aging and Health
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Assisted Living Pilot Program

Utilization and Cost Findings

Michael K. Chapko, PhD

VA Puget Sound Health Care System and University of Washington, chapko{at}u.washington.edu

Larry M. Manheim, PhD

Edward Hines Jr. VA Hospital and Northwestern University

Marylou Guihan, PhD

Edward Hines Jr. VA Hospital and Northwestern University

Jean H. Sullivan, BA

VA Puget Sound Health Care System

Xiao-Hua Andrew Zhou, PhD

VA Puget Sound Health Care System, University of Washington

Li Wang, MS

VA Puget Sound Health Care System

Floss J. Mambourg, BSN, RN, MS, MPA, CNAA

Portland VA Medical Center and Oregon Health Sciences University

Susan C. Hedrick, PhD

VA Puget Sound Health Care System and University of Washington

Objective: The Department of Veterans Affairs funded assisted living, adult family home, and adult residential care for the first time in the Assisted Living Pilot Program (ALPP). This article compares the use and cost for individuals that entered ALPP and a comparison group. Method: This was a nonrandomized study. The comparison group consisted of VA patients who were eligible but did not enter an ALPP facility. The ALPP (n = 393) and comparison (n = 259) groups were followed for 12 months to assess ALPP facility, case management, and health care costs. Results: ALPP facility and ALPP case management costs were respectively $5,560 and $2,830 per individual. Total health care costs, including ALPP costs, were $11,533 higher for the ALPP group compared to the comparison group after adjusting for baseline differences. Discussion: Although ALPP successfully helped individuals transition to longer term care in these facilities, it was more costly than the comparison group.

Key Words: assisted living • residential care facilities • long-term care • cost

Journal of Aging and Health, Vol. 21, No. 1, 208-225 (2009)
DOI: 10.1177/0898264308328930
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