Prospective budgeting for home care: Making titration work

Vernon L. Greene

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: To provide a model for prospective budgeting for home care that is plausible, coherent, flexible, and sufficiently tractable that it can serve as a template for practical decision making and to clarify what would be the data requirements and statistical framework to calibrate the model. Methods: Methods used are standard risk-neutral expected value theory, cost benefit analysis, and the conditional logistic probability model. Results: A simple but effective prospective budgeting model that provides analytic scaffolding for a practical decision support system for home care case managers, consultants, and program evaluators that can improve program equity, efficiency, and effectiveness. Discussion: The author criticizes the well-known Titration Budgeting Model of Weissert, Chernew, and Hirth in terms of its logical and operational problems but then goes on to develop a framework within which the goals of the titration model can be met and home care resources can be more efficiently allocated.

Original languageEnglish (US)
Pages (from-to)399-424
Number of pages26
JournalJournal of Aging and Health
Issue number4
StatePublished - Aug 2005


  • Adverse events
  • Case management
  • Cost-benefit analysis
  • Home care
  • Prospective budgeting
  • Risk

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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