| Costs of providing antiplatelet medication for percutaneous coronary intervention patients. | |
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MedLine Citation:
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PMID: 22216751 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objectives: To propose a model in which insurers work with hospitals to provide a discharge supply of antiplatelet medication to patients receiving stents and to examine the cost implications of this strategy. Study Design: A decision tree was modeled using data from previously published research. The study adopts an insurer's perspective. Methods: Data on patient delays in filling antiplatelet prescriptions and rates of associated adverse events were taken from published research. The costs of adverse events (death or acute myocardial infarction [AMI]) are taken from Healthcare Cost and Utilization Project estimates of hospital costs for diagnosis-related groups associated with AMI. Results: In the base case, expected costs totaled $1782 when stent implantation patients were provided with a discharge supply of medication and $1857 under the current standard of care, a difference of $75. Insurers can supply up to 60 days of medication without increasing total costs. The strategy of offering a discharge supply of medication is cost saving under a range of estimated rehospitalization costs and medication costs. However, this result is dependent on the ability of a discharge supply of medication to reduce rates of death or AMI. Conclusions: Providing discharge supplies of antiplatelet medication resulted in lower overall costs for insurers in most of the cases modeled. |
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Authors:
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Nathan W Carroll; Michael P Dorsch |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of managed care Volume: 17 ISSN: 1936-2692 ISO Abbreviation: Am J Manag Care Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: United States |
Other Details:
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Languages: eng Pagination: 803-10 Citation Subset: H |
Affiliation:
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1415 Washington Heights, Ann Arbor, MI 48109-2029. E-mail: natcar@umich.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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