Research on the cost of health care and how to control it. Covers cardiovascular care in Latin America, emergency-visit costs, insulin pricing, and screening gaps.
A University of Oregon team has developed a formula to refrigerate coal-plant emissions, reducing carbon dioxide by 90%, sulfur dioxide by 98%, mercury by 100% and other pollutants. The process would save society 38% through reduced health-care and climate-change costs.
A new study confirms ECG as a cost-effective method for detecting cardiac abnormalities in young athletes, preventing fatal events. The program's mean cost per athlete is €115, with most subsequent examinations being low-cost echocardiograms.
A study projects that declining male circumcision rates in the US may lead to increased healthcare costs and infection prevalence. Researchers found that reducing MC rates could result in higher estimated lifetime medical costs for men and women.
A study by Johns Hopkins Medicine warns that declining US infant male circumcision rates could lead to significant healthcare costs. The researchers estimate that each uncircumcised male would incur $313 more in illness-related expenses, totaling $4.4 billion over the next decade.
Researchers found clinically significant improvements in pain levels and functional capacity after acupuncture treatment for knee osteoarthritis. The service could save the NHS around £100,000 a year, with group acupuncture being popular among nurses and patients.
Researchers found that despite similar survival rates, trauma patients in the western United States face higher treatment costs than those in the northeastern region. Analysis of national patient records revealed significant regional differences in care costs, with the west spending up to 35% more on liver injury treatments.
A new legal analysis warns that some states may delay or refuse to participate in the Medicaid expansion under the Affordable Care Act, leaving millions of impoverished children and adults at risk for lack of coverage. The expansion could create new jobs and provide a much-needed boost to thousands of communities affected by poverty.
Researchers analyzed medical group practices providing care for over 133,000 diabetic patients and found a significant reduction in healthcare costs with improved quality of care. The study suggests that investing in quality care can lead to cost savings without compromising patient outcomes.
A recent study published in Health Care Management Review found that mandatory individual insurance coverage in Massachusetts led to a significant near-term drop in hospital productivity. The results raise concerns about the potential impact of universal health insurance coverage on US hospital productivity and overall healthcare costs.
A study found that incorporating CT angiography into the initial evaluation of low-risk patients with chest pain reduced hospital stay time by half and decreased costs without increasing the risk of missed diagnosis. The use of CCTA also led to fewer adverse clinical events, but future studies are needed to confirm its effectiveness.
A Northwestern University study reveals that farmers and ranchers with major limb amputations struggle with durable, affordable, and adaptable prosthetics. These limitations hinder their ability to perform farm tasks, making traditional prosthetic solutions unsuitable for their unique needs.
Researchers at the University of Texas Medical Branch will study hospital readmissions for high-volume, high-cost patients receiving post-acute inpatient rehabilitation services. The goal is to identify factors associated with readmissions and improve discharge planning.
Researchers at the University of Iowa found that police officers working evening or night shifts were more likely to get less restful sleep, leading to chronic fatigue and health issues. The study recommends practices to ensure proper sleep, such as adjusting court appearances and partnering with nurses.
A survey of all 24 Scottish intensive care units found that a quarter of admissions were alcohol related, particularly among men and younger people. Patients with alcohol problems required longer ventilation times and had higher estimated annual costs.
The study analyzed over 1.5 million PCI procedures and found that drug-eluting stent use varies significantly among physicians, even among patients at low risk of restenosis. A reduction in DES use could lead to substantial cost savings while preserving clinical benefit.
A new study found that using drug-eluting stents has little relation to patients' predicted risk of restenosis. Reducing unnecessary usage could significantly cut US health costs and prevent complications. The authors suggest incorporating assessment of restenosis risk into regular practice for better-informed decisions.
A study of 1.2 million veterans found that the federal government spent an estimated $13 billion in six years on duplicate Medicare Advantage payments for care provided by both the VA and private health facilities. The study suggests policymakers consider measures to identify and eliminate redundant expenditures.
A new study found that the federal government made $13 billion in duplicative payments to provide health-care services to veterans enrolled in Medicare Advantage plans. The researchers analyzed over 1 million veteran records and found that 61% used both VA and Medicare Advantage coverage.
A study published in JAMA found that community health centers with higher patient-centered medical home ratings had higher operating costs. The study analyzed data from 1,009 federally funded health centers and found that a 10-point higher total PCMH score was associated with a $2.26 higher operating cost per patient per month.
A new study finds that patient-centered medical homes (PCMHs) have higher per-patient operating costs, with additional expenses for personnel, technology, and quality improvement measures. The PCMH model aims to improve care quality and reduce wasteful spending, but its financial sustainability is threatened by these increased costs.
The High Value Healthcare Collaborative will use the grant to implement shared decision making for patients facing hip, knee or spine surgery and for those with diabetes or congestive heart failure. The project aims to reduce utilization and costs by $64 million over three years through patient engagement and activation.
RAND Corporation researchers suggest that existing administrative data may be unable to detect the effects of health IT. To accurately gauge impact, new measurement tools are needed. Health IT can lead to greater convenience, access and quality while lowering costs if it supports teamwork, care coordination and innovative approaches.
A cost-effectiveness analysis found that improving quality of care for sick children in district hospitals in Kenya is affordable and effective, with a significant increase in care quality and low additional costs. The intervention was estimated to be approximately $3.6 million annually, or 0.6% of the annual child health budget.
A new study has found that children with autism spectrum disorders (ASD) pay more for health care services than children with other conditions. They also use more services but have less access to coordinated care. The researchers highlight the need for better policies and medical home models to address these disparities.
The study analyzed Massachusetts General Hospital records to examine the value of healthcare over time. The analysis revealed four distinct eras: low costs and high mortality from 1821 to 1910, rising costs with declining mortality during the mid-20th century, and increasing costs with minimal changes in mortality since 2001.
Efforts to green operating rooms can result in significant cost savings for hospitals while reducing their environmental impact. Implementing greening initiatives such as separating waste streams, using closed collection systems and reprocessing single-use devices can generate substantial cost savings.
A new study found that hospitals are increasingly holding elderly Medicare recipients for observation instead of inpatient care, leading to higher out-of-pocket costs. The shift may be driven by hospitals and physicians seeking to avoid unfavorable Medicare audits targeting hospital admissions.
Patients with incomes under $50,000 were 27% less likely to participate than those earning more, with lower-income individuals expressing greater concerns about costs. The study highlights the need for better education and support for these patients.
A new study found that caring for patients with fecal incontinence costs over $4,000 per person each year, making it a significant economic burden. The condition affects 8.3% of adults and can lead to depression and social isolation.
Researchers found that smoking contributes to higher hospital costs for surgical patients, with an estimated $900 added cost per patient. The study suggests the need for preoperative behavioral interventions targeting smoking cessation to improve surgical outcomes and reduce healthcare costs.
A study found that early physical therapist treatment for low back pain was associated with reduced risk of subsequent healthcare utilization and lower overall healthcare costs. Patients who received early care from a physical therapist had lower rates of surgery, injections, and opioid use, as well as reduced medical costs.
Workers' compensation insurance is not used enough to cover workplace illnesses and injuries. Nearly 80% of these costs are paid by employer-provided health insurance, Medicare, Medicaid, Social Security, and other disability funds. The resulting low premiums provide little incentive for companies to promote workplace safety.
A recent study published in the journal Urology found that robotic-assisted laparoscopic radical prostatectomy (RARP) is significantly more costly than traditional open surgery. The study, conducted at the University of Pittsburgh Medical Center (UPMC), analyzed data from 473 consecutive patients treated between 2009 and 2010. Research...
The report shows facility prices outpaced general inflation, driving health spending growth among the privately insured. Per capita spending on healthcare services averaged $4,255 in 2010, with hospital and ambulatory care facility prices rising 5.1% and 10.1%, respectively.
A study of nearly 11,000 total knee replacements across five top health systems revealed significant variations in length of stay, operating room time, and in-hospital complications. The data showed that surgeons with higher volumes tend to have shorter procedures, while older and sicker patients had longer hospital stays.
A new Yale study found that hospitals performing expensive cardiovascular procedures are more costly for all heart failure patients. The median cost per hospitalization was $5,259 at low-procedure hospitals and $6,965 at high-procedure hospitals, with similar length of stay.
A recent OHSU study found that multiple sclerosis specialists have seen over 600 patients misdiagnosed with MS, resulting in unnecessary treatment costing $11 million per year. The study highlights the importance of clinical expertise in recognizing and correcting diagnostic errors.
The 'From Clinic to Community' project aims to improve health outcomes for at-risk populations in Southeastern US counties. It combines modern technology with community-based healthcare professionals to address the triple aim of better outcomes, better care, and lower cost.
A recent study published in the Journal of Bone and Joint Surgery found that hand and wrist injuries account for a significant number of annual emergency department visits in the US. The study estimated that the total cost of these injuries is substantial, with over $2 billion spent on healthcare costs and lost productivity each year.
The US healthcare system could face a surge in medical expenditures due to rising obesity rates. By 2030, up to 42% of the U.S. population may be obese, with severe obesity rates reaching 11%. To mitigate these costs, experts emphasize the need for effective strategies to prevent obesity.
A new study suggests that consumer-directed health plans could reduce healthcare spending in the US by $57 billion annually, equivalent to a 4% decrease in healthcare costs. The plans, which have high deductibles and personal health accounts, may encourage patients to make more informed decisions about their care.
A recent study by Brigham and Women's Hospital found that unnecessary imaging recommendations in PET/CT oncologic reports are common, with 43 out of 84 recommendations being deemed unnecessary. This highlights the need for radiologists to reduce frequency of additional imaging tests without compromising patient outcomes.
The US spent nearly $8,000 per person in 2009 on health care services, while other countries in the study spent between one-third and two-thirds as much. Higher prices and greater use of technology appear to be the main factors driving high rates of US spending.
A recent study published in the Journal of American College of Surgeons found that removing a child's ruptured appendix within 24 hours significantly lowers hospital costs and charges. The study showed an estimated $10,000 savings in hospital charges when pediatric general surgeons removed the ruptured appendix early.
The US Commission on a High Performance Health System proposes a community-based initiative to enhance health and reduce spending, focusing on chronically ill patients and quality improvement efforts. The plan aims to save $184 billion in health spending over the next decade by improving care for patients with multiple chronic conditions.
A recent study by Loyola Medicine found that even relatively minor burns can lead to serious complications and prolonged hospital stays for binge drinkers. The study compared burn patients who were intoxicated above the legal limit with those who had no alcohol in their blood, finding similar rates of sepsis and pneumonia.
A study of nearly 20,000 cases of routine appendicitis at 289 hospitals and medical centers in California found significant discrepancies in hospital charges, ranging from $1,529 to $183,000. The median charge was $33,611, with county hospital charges being 37% lower than nonprofit hospital charges.
The American College of Physicians recommends testing a premium support program on a demonstration project basis to ensure patient access to care. The College also suggests policies to reform payment and delivery systems to reduce costs and maintain access to affordable care for beneficiaries.
A Mayo Clinic study found that therapeutic hypothermia, also known as body cooling, has reduced in-hospital deaths among sudden cardiac arrest patients. The research analyzed over 1 million patients and found mortality rates dropped from 69.6% to 57.8% between 2001 and 2009.
A study reveals a £300 million annual funding shortfall for emergency laparotomies in England, with high death rates among elderly patients. The study also found that older patients were three times as likely to die in hospital and within 30 days of surgery.
A study reveals that cancer patients overwhelmingly prefer risky treatments with a chance of longer survival to safer options. This approach is driven by patients' desire for hope and limited remaining life expectancy, indicating a shift in how value should be defined from the patient's perspective.
A new study suggests that policies to reduce healthcare costs may compromise quality care by depriving patients of needed services. The research found that regions with high rates of inappropriate imaging also had high rates of appropriate imaging, highlighting the need for a more nuanced approach.
A study by The Commonwealth Fund found that consumers nationwide could have received nearly $2 billion in rebates if the Affordable Care Act's medical loss ratio rules had been in effect in 2010. This would have resulted from insurers issuing rebates or reducing premiums to meet minimum quality and care standards.
A new study published in the Journal of the American College of Surgeons found that early surgical intervention for children with perforated appendicitis reduces hospital charges and clinical complications. Early appendectomy patients had better outcomes and fewer adverse events compared to those who underwent the procedure later.
Autism has more than tripled in cost since 2006, reaching $126 billion in the US and £34 billion in the UK. The lifetime costs of caring for individuals with autism affected by intellectual disability are significantly higher, up to $2.3 million in the US and £1.5 million in the UK.
A study published in Hepatology found that diagnosing minimal hepatic encephalopathy (MHE) with the inhibitory control test and treating it with lactulose is cost-effective, preventing car accidents and reducing societal costs. The treatment prevents motor vehicle collisions and saves up to $3.6 million over a 5-year period.
A cost-utility analysis shows the DC Female Condom program prevented significant HIV infections and saved over $8 million in future medical care costs. The program's success suggests promoting female condoms as an effective HIV prevention intervention for women at high risk.
A new CMS requirement mandates deeper sedation, adding $844 to ICD implant costs; Researchers recommend revising guidelines to minimize unnecessary expenses while preserving patient safety
A three-year longitudinal study found that periodontal treatment reduced hospital admissions, physician visits, and overall medical care costs in diabetics by an average of $1,814 per patient annually. This significant reduction was attributed to a 33% decrease in hospital admissions.
A new NIH study finds that programs to prevent or delay type 2 diabetes in high-risk adults can improve quality of life, reduce healthcare costs, and result in significant savings over time. Lifestyle interventions and metformin treatment were found to be cost-effective options for preventing type 2 diabetes.