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Cost Analysis and Policy Implications of a Pediatric Palliative Care Program  Daphna Gans, PhD, Max W. Hadler, MPH, MA, Xiao Chen, PhD, Shang-Hua Wu, MS,

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1 Cost Analysis and Policy Implications of a Pediatric Palliative Care Program 
Daphna Gans, PhD, Max W. Hadler, MPH, MA, Xiao Chen, PhD, Shang-Hua Wu, MS, Robert Dimand, MD, Jill M. Abramson, MD, MPH, FAAP, Betty Ferrell, PhD, MA, FAAN, FPCN, Allison L. Diamant, MD, MSHS, Gerald F. Kominski, PhD  Journal of Pain and Symptom Management  Volume 52, Issue 3, Pages (September 2016) DOI: /j.jpainsymman Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

2 Fig. 1 Pre-post change in per enrollee per month cost, by service type, 2008–2012. Long-term care was examined as a separate service type but was too small to report separately and was included in the IP service category. ED = emergency department; IP = inpatient; OP = outpatient; RX = pharmacy. UCLA analysis of MIS/DSS claims, MEDS, and CMS Net data. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

3 Fig. 2 Cost distribution by type of service and diagnosis category, 2008–2012. ED percentages were not included because of small size. Other includes gastrointestinal conditions and enrollees whose primary diagnosis was “Other and unspecified postsurgical nonabsorption.” IP = inpatient; OP = outpatient; RX = pharmacy. UCLA analysis of MIS/DSS claims, MEDS, and CMS Net data. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

4 Fig. 3 Mean number of inpatient days PEPM, pre- and post-enrollment, by diagnosis category, 2008–2012. PEPM = per enrollee per month. UCLA analysis of MIS/DSS claims, MEDS, and CMS Net data. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions


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