Articles tagged with Health Care Costs
A hospital-based study found that patients who want to participate in their medical decisions end up spending more time in the hospital and raising costs of their hospital stay by an average of $865. The study suggests that encouraging patients to be more involved may not reduce costs, but rather increase length of stay and costs. Prov...
Researchers found that using the oral glucose challenge test (OGCT) with a glucose threshold of 7.2 mmol/L had a sensitivity of 99 percent and specificity of 77 percent for diagnosing gestational diabetes mellitus (GDM). GDM screening may also reduce complications such as preeclampsia, shoulder dystocia, and high birth weight.
A survey of 22,000 patients found that those who preferred to participate in medical decisions had a 0.26-day longer length of stay and $865 higher total hospitalization costs. Patient preference increased with educational level and private health insurance.
The American College of Physicians recommends targeting a blood glucose level of 140-200 mg/dL for surgical and medical intensive care unit patients when using intensive insulin therapy. The guidelines aim to balance the benefits and harms of hyperglycemia management in hospitalized patients.
A study of 80 patients found that 42.5% had no obstruction, 23% had reversible obstruction, and only 35% had non-reversible obstruction, suggesting widespread misdiagnosis of COPD. The study highlights the importance of spirometry in confirming diagnosis and reducing unnecessary medical expenses.
The RAND Corporation report highlights emergency physicians' critical role in evaluating, managing, and preventing hospital admissions. The study found that ERs account for nearly half of all hospital admissions, with non-elective admissions increasing 3.8 times the rate of population growth.
Research on practice transformation, cost estimates for primary care facilitation, and alternative payment reform options are presented. The median cost of practice facilitation to improve chronic illness care is estimated at $9,670 per year, with lower costs expected in subsequent years.
A new study suggests that more objective testing can substantially reduce the cost and risk of managing gastroesophageal reflux disease (GERD), with potential cost savings of up to $7,300 per patient over 10 years. Additionally, researchers identified risk factors associated with surgical readmissions in major gastrointestinal resections.
A study found that Massachusetts' healthcare reform in 2006 led to a 3.6% increase in average quarterly hospital admissions, similar to neighboring states without reform. The total days of inpatient care increased by 0.94%, and hospital charges per quarter rose by 1.1% more than in comparison states.
A new study by Penn Medicine found that most cancer doctors, patients, and the general public support cutting healthcare costs by refusing to pay for drugs without improving survival or quality of life. The survey also revealed that large numbers favored not paying for more expensive drugs when cheaper alternatives are equally effective.
A study demonstrated that an antibiotic stewardship program using Bruker's MALDI Biotyper analyzer reduced average length of stay by two days and overall costs by almost $20,000 per patient. The program improved patient care through rapid pathogen identification and accurate antimicrobial susceptibility testing.
A study by the University of Michigan found that African Americans are less likely to call 9-1-1 immediately after experiencing stroke symptoms due to concerns about medical costs and ambulance response time. The study aimed to address these barriers and improve prompt hospital care, as timely treatment can reduce permanent damage.
A study finds that private Medicare Advantage plans have cost Medicare an extra $282.6 billion since 1985, with $34.1 billion overpaid in 2012. The plans' strategies include cherry-picking healthier beneficiaries and recruiting patients from the Veteran's Administration to increase profits.
A new study found that nearly 97% of obese enrollees met or exceeded the average goal of 5,000 steps a day via an Internet-tracked walking program. This suggests that incentivized wellness programs can encourage healthy behaviors and reduce health costs.
A new article by Johns Hopkins faculty highlights the importance of advance directives in managing end-of-life care issues and reducing medical costs. Completing an advance directive document can lower end-of-life expenses for Medicare, Medicaid, and commercial insurance.
The Hastings Center has released a new set of guidelines for good care near the end of life, aiming to improve communication, pain management, and treatment decisions. The guidelines clarify what is ethically permissible in the US regarding life-sustaining technologies and provide practical guidance for healthcare professionals.
A new study found that strategies to lower Medicare costs, such as increasing premiums and raising the eligibility age, could lead to some seniors losing coverage, prompting concerns about access to healthcare. The analysis suggests that premium support programs or voucher plans could cut spending by up to 24%.
The SCAMPs platform, developed at Boston Children's Hospital, helps healthcare providers continuously improve their medical practice by reducing costs and improving patient outcomes. Successful outcomes associated with the platform include lower costs, reduced practice variation, and improved outcomes for various pediatric conditions.
A new protocol using single, high-dose erythropoietin administered two days prior to surgery reduces transfusion requirements by one-third and improves patient outcomes.
A study by Henry Ford Health found that ER visits for urinary tract infections result in nearly $4 billion in unnecessary costs each year. The research analyzed data from 10.8 million patients with a primary diagnosis of UTI who visited emergency rooms from 2006 to 2009.
A new study proposes a 'Medicare Essential' plan that combines Medicare's hospital, physician, and prescription drug coverage with private supplemental coverage to simplify benefits and lower out-of-pocket costs. The plan aims to save $180 billion over 10 years while improving care for beneficiaries.
A slowdown in healthcare spending growth could result in Americans saving up to $770 billion on Medicare costs over the next decade. This decrease is attributed to a decline in new drug development and increased efficiency in the healthcare system.
Two new studies from Henry Ford Hospital found that hematuria, or blood in the urine, contributes significantly to emergency room costs. Imaging procedures for hematuria result in an estimated $75 million annual increase in ED charges.
The Early Start Denver Model has been shown to improve social skills and brain responses in toddlers with ASD, while minimizing therapies required through the school years. The study found that ESDM-receiving children required significantly fewer hours of special education services and individual therapies.
Neuraxial anesthesia reduces morbidity, mortality, length of hospital stay, and costs in patients undergoing hip or knee replacement. It lowers rates of pulmonary compromise, pneumonia, infections, and acute renal failure compared to general anesthesia.
A new review of malpractice claims suggests efforts needed to reduce errors leading to claims. The largest payouts were for diagnosis-related events, which showed twice the odds of a catastrophic payout compared to equipment- or product-related errors.
A recent analysis published in the Annals of Emergency Medicine found that emergency care cost estimates are too low, with costs ranging from 4.9-5.8% of total healthcare spending. The study suggests that an alternative accounting method, Time-Driven Activity-Based Costing (ABC), could provide a more realistic measure of ED costs.
The increasing cost of leukemia treatments in the US is leaving many patients under- or untreated due to unaffordable care. CML experts call for a long-term solution to manage treatment costs, balancing investments from various parties.
By 2030, heart failure costs are projected to exceed $70 billion, with 8 million people affected, up from 5 million in 2012. Improved prevention and treatment strategies are needed to address this growing burden.
A study of nearly 35,000 surgical discharges found that occurrence of postsurgical complications was associated with higher per-encounter hospital contribution margin for Medicare and private insurance patients, but lower one for Medicaid and self-pay patients. This suggests that hospitals may need to adjust their financial strategies ...
While computer-based decision support systems can help reduce testing costs by 9%, they are unlikely to overcome the root causes of unnecessary medical testing and cultural issues within the healthcare system.
A study at Johns Hopkins Hospital found that providing physicians with upfront price transparency for laboratory tests resulted in a 9% decrease in test orders and significant cost savings. The practice decreased overall use of tests, saving hundreds of thousands of dollars over six months.
Researchers at Medstar Health and Georgetown University School of Medicine found that implementing a value-based analysis approach to preventing deep vein thrombosis (DVT) in surgical patients resulted in significant cost savings, with an estimated overall system-wide savings opportunity of $4 million. The study identified limiting the...
A new study suggests that medical therapy is a viable alternative to angioplasty in treating stable coronary artery disease, reducing the risk of complications and hospitalizations. The study proposes a targeted approach to shared decision-making, considering treatment options, risks, and outcomes for patients.
A new study estimates that dementia care costs are comparable to those of heart disease and cancer, with annual costs ranging from $159-$215 billion. The majority of these costs are due to long-term daily care and supervision provided by families and nursing homes.
The monetary cost of dementia in the US is estimated to range from $157 billion to $215 billion annually, surpassing both heart disease and cancer. The majority of costs are associated with institutional and home-based long-term care, rather than medical services.
A new study by the USC Schaeffer Center and RAND Corporation found that patients with high deductibles pay roughly the same amount as traditionally insured patients for most outpatient services. The study suggests that lack of transparency about medical costs and patient loyalty to primary care physicians hinder price comparison, leadi...
Vermont's aggressive health care reform initiatives offer valuable lessons for other states, including engaging stakeholders, coordinating implementation efforts, and capitalizing on federal financing opportunities. The state's centralized administrative board has resulted in lower costs by eliminating duplication of efforts.
A UCLA study found that heart failure medications recommended by national guidelines are highly cost-effective in saving lives and may also provide savings to the healthcare system. The combination of these medical therapies demonstrated the greatest gains in quality-adjusted life years for heart failure patients.
A new study by RAND Corporation finds that expanding Medicaid in Pennsylvania would increase federal revenue by more than $2 billion annually and provide health insurance to 340,000 residents. The expansion would also sustain over 35,000 jobs and boost economic activity by $3 billion.
Research from Brigham and Women's Hospital finds that states with restrictive Medicaid eligibility criteria have higher rates of patients delaying needed medical care. Regions with the highest rates of delayed medical care are primarily in the southeast, including Florida and Texas, where Hispanics are at a higher risk for delaying care.
A new model developed at Brigham and Women's Hospital helps clinicians identify high-risk patients for potentially avoidable hospital readmissions. The model uses seven independent factors, including hemoglobin level and length of stay, to predict the risk of readmission.
A study at the American Academy of Orthopaedic Surgeons found significant variations in spinal component costs, with pedicle screws, anterior cervical plates, and posterior interbody cages costing $400 to $7,200 per patient. Greater transparency and coordinated implant selection and purchase processes could reduce these costs by up to ...
A new UK-based study published in The BMJ found that telehealth for patients with long-term conditions does not seem to be a cost-effective addition to standard support and treatment. Despite promises of reduced healthcare costs, the study revealed that total costs for those using telehealth were higher than usual care.
Research studies found that obesity is associated with longer hospital stays and higher related costs in total knee replacement patients, but not with an overall increase in complication risk. Patients with a BMI of 25-30kg/m2 had the lowest length of hospital stay and direct medical costs.
A new study at Henry Ford Hospital finds that catheter-based treatments are more cost-effective than traditional vein-stripping surgery. The treatment uses heat energy to seal diseased veins, restoring normal blood flow with minimal scarring and no hospitalization required.
A new study proposes converting New York's all-purpose energy infrastructure to renewable energy sources like wind, water, and sunlight. The plan aims to reduce pollution-related costs, create local jobs, and save the state billions of dollars annually.
A study found that primary care management of obstructive sleep apnea was not clinically inferior to specialist care, with significant improvements in daytime sleepiness scores. Primary care management also resulted in lower costs, estimated at $1,819 per patient, compared to specialist care at $3,068.
A study published in Spine found that patients with neck injuries incur significantly higher health and social costs, which also affect their spouses. The increases in costs began to occur well before the initial injury, up to eleven years earlier.
A clinical trial found that a centralized, patient-preference program decreased depressive symptoms and may be cost-neutral over time. Active treatment for post-ACS depression was associated with significant improvements in symptoms and potentially lower healthcare costs.
A new study suggests that pneumococcal disease may be shifting its burden from infants to adults in Latin America, with significant economic implications. The research highlights the need for increased monitoring and surveillance to understand the full extent of the disease in the region.
Friedreich's Ataxia, a rare genetic disorder, imposes significant annual costs of £11,000 to £19,000 on individuals. The study emphasizes the need for tailored resource allocation to maximize quality of life while minimizing its impact.
A new study suggests that consumers select health insurance plans based on both their overall wellness level and anticipated response to having insurance. The research indicates that people with lower behavioral responses to the contract are more likely to opt for high-deductible plans.
A new UCSF study reveals large price swings in patient charges for the 10 most common outpatient conditions in emergency rooms across the country. The median charge for total outpatient conditions was $1,233, with some patients facing bills of $4 to $24,110.
A new Pitt study found that generic drug coverage is cost-effective compared to no coverage for schizophrenia and bipolar disorder. Generic coverage improved health outcomes and reduced medical costs, with savings of $570-$1,312 per year.
A recent study found that bariatric surgery does not lower overall healthcare costs in the long term. Instead, it results in higher inpatient costs and lower prescription and office-visit costs. The research analyzed data from over 29,000 patients who underwent bariatric surgery between 2002 and 2008.
A new Northwestern University study found that US veterans diagnosed with GERD are frequently prescribed high doses of proton pump inhibitors (PPIs) and kept on the drug for too long. The researchers evaluated over 1,600 patients and found that nearly 25% were given high total daily dose prescriptions.
Professor Barbara Sahakian emphasizes the importance of prioritizing mental health, citing one in four adults suffering from a mental disorder. She advocates for regular monitoring and early detection through innovation and technology to promote prevention and effective treatment.
State Medicaid programs offering coverage for birth doulas may capture cost savings associated with reduced cesarean rates, benefiting diverse, low-income women. Doula support improves birth outcomes and enhances the mother's birth experience.
A new study by UCSF found that California's tobacco control program cost $2.4 billion and reduced health care costs by $134 billion over nearly 20 years. The program also led to a significant decrease in smoking prevalence and cigarette consumption, contributing to the overall healthcare cost savings.