Document Detail

What hospital inpatient services contributed the most to the 2001-2006 growth in the cost per case?
MedLine Citation:
PMID:  22946883     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To demonstrate a refined cost-estimation method that converts detailed charges for inpatient stays into costs at the department level to enable analyses that can unravel the sources of rapid growth in inpatient costs.
DATA SOURCES: Healthcare Cost and Utilization Project State Inpatient Databases and Medicare Cost Reports for all community, nonrehabilitation hospitals in nine states that reported detailed charges in 2001 and 2006 (n = 10,280,416 discharges).
STUDY DESIGN: We examined the cost per discharge across all discharges and five subgroups (medical, surgical, congestive heart failure, septicemia, and osteoarthritis).
DATA COLLECTION/EXTRACTION METHODS: We created cost-to-charge ratios (CCRs) for 13 cost-center or department-level buckets using the Medicare Cost Reports. We mapped service-code-level charges to a CCR with an internally developed crosswalk to estimate costs at the service-code level.
PRINCIPAL FINDINGS: Supplies and devices were leading contributors (24.2 percent) to the increase in mean cost per discharge across all discharges. Intensive care unit and room and board (semiprivate) charges also substantially contributed (17.6 percent and 11.3 percent, respectively). Imaging and other advanced technological services were not major contributors (4.9 percent).
CONCLUSIONS: Payers and policy makers may want to explore hospital stay costs that are rapidly rising to better understand their increases and effectiveness.
Jared Lane K Maeda; Susan O Raetzman; Bernard S Friedman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2012-09-04
Journal Detail:
Title:  Health services research     Volume:  47     ISSN:  1475-6773     ISO Abbreviation:  Health Serv Res     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-18     Completed Date:  2012-11-28     Revised Date:  2014-10-15    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1814-35     Citation Subset:  IM    
Copyright Information:
© Health Research and Educational Trust.
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MeSH Terms
Heart Failure / economics
Hospital Charges / statistics & numerical data*
Hospital Costs / statistics & numerical data*
Hospital Departments / economics,  statistics & numerical data
Intensive Care Units / economics
Osteoarthritis / economics
Patient Discharge / economics
Patients' Rooms / economics
Sepsis / economics
Surgical Procedures, Operative / economics
Grant Support
HHSA-290-2006-00009-C//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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