Identifying High-Cost, High-Need Patients in a Network of Community Hospitals.
J Prim Care Community Health
; 15: 21501319241233410, 2024.
Article
in En
| MEDLINE
| ID: mdl-38400584
ABSTRACT
We examined healthcare costs at HonorHealth, a community-based academic health center comprised of 5 hospitals and numerous ambulatory care facilities. Patient encounters that resulted in admission in 2019 were included in the study. Mean costs in 2019 for high costs and high needs (HCHN) patients were compared with all remaining patients using a framework developed by the National Academy of Medicine. HCHN patients were older (71 vs 52 years), with a lower percentage of females (41.7% vs 59.8%), more frequently White (90.1% vs 87.5%), less frequently married (52.4% vs 54.5%), with a longer length of stay (6.5 vs 3.0 days) and higher mean charges ($134 743 vs $16 414). The mean cost per patient in the HCHN group decreased by age group ($192, 963, $165 200, $144 584, $134 795, and $108 356) for 0 to 18, 19 to 44, 45 to 64, 65 to 84, and 85+ years, respectively. HCHN patients were more publicly insured (49% vs 38%). Targeted interventions to treat HCHN may lead to lower healthcare costs and improved health outcomes within this system.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hospitalization
/
Hospitals, Community
Limits:
Female
/
Humans
/
Newborn
Language:
En
Journal:
J Prim Care Community Health
/
J. prim. care community health (Online)
/
Journal of primary care & community health (Online)
Year:
2024
Document type:
Article
Affiliation country:
Estados Unidos
Country of publication:
Estados Unidos