Tag: healthcare costs

1. In this retrospective cohort analysis, patients admitted under services with greater hospitalist continuity of care had lower 30-day mortality compared to lower-continuity hospitalist services. 2. Higher continuity hospitalist services also had improved readmission rates and lower associated discharge costs. Evidence Rating Level: 3 (Average)        Study Rundown: Central to the physician-patient relationship...
The estimated nonreimbursed staff costs of care coordination for medically complex children was conservatively estimated to be 145-210% per child per month. Evidence Rating: Level 4 (Below Average) Study Rundown: Children with medical complexity (CMC) may have congenital or acquired multisystem disease, severe neurocognitive impairments, dependence on medical technology, and/or...
1. In this retrospective cost analysis, Medicare spending exceeded $2.9 billion for the 10 most costly brand-name combination medications available from 2011 to 2016. 2. By switching to generic alternatives for these combination drugs, Medicare Part D beneficiaries would have been estimated to save $2.7 billion. Evidence Rating: 2 (Good) Study Rundown:...
1. Patients who were apart of the intensive management group that were higher risk received greater outpatient care. 2. Overall mean costs between intensive management and control groups of veterans remained similar. Evidence Rating Level: 1 (Excellent) Study Rundown: This study focused on high-quality care within primary care models. The authors aimed...
1. In this cross-sectional study, of those patients on maintenance hemodialysis that were referred to hospice care, 41.5% received care for only 3 days or less. 2. While patients who were enrolled in hospice care were less likely to die in hospital or undergo intensive procedures prior to death, they...
1. In this meta-analysis of available studies, early palliative care consultation (PCC) for patients admitted to hospital with serious illness was associated with a reduction in direct hospital costs for that admission. 2. The reduction in direct hospital costs was greater for those patients with a cancer diagnosis and for...
1. The percentage of preventable early readmissions (within 7 days post-discharge) and late readmissions (between 8 and 30 days post-discharge) were 36.2% and 23.0%, respectively, which suggests that a 7-day window may be more accurate than a 30-day window for measuring quality of hospital care. 2. In terms of the...
1. Administrative costs, physician and nurse salaries, and pharmaceutical prices are higher in the U.S. compared to other highly developed countries. 2. The US had similar rates of social services spending and health care utilization compared to other highly developed nations. Evidence Rating Level: 2 (Good) Study Rundown: The United States spends...
1. In this multicenter, randomized controlled study, the Pulmonary Embolism Rule-out Criteria (PERC) was not associated with an inferior rate of diagnosing thromboembolic events in low risk patients compared to care as usual. 2. The PERC strategy resulted in significantly fewer uses of CT pulmonary angiography, reduced ED length of...
1. In this analysis of healthcare spending survey data from a nationally represented sample, the implementation of the Affordable Care Act (ACA) was associated with a decrease in mean out-of-pocket spending for healthcare. Mean premium spending increased during this same time period. 2. Participants in the low-income groups were more...