Why Does Medical Care Cost So Much and What Can We Do about It?

2015 ◽  
pp. 295-314
Keyword(s):  
Medical Care ◽  
Medical Care Cost

Patterns of Medical Care Cost by Service Type for Patients With Recurrent and De Novo Advanced Cancer

2021 ◽  
Author(s):  
Matthew P. Banegas ◽  
Michael J. Hassett ◽  
Erin M. Keast ◽  
Nikki M. Carroll ◽  
Maureen O’Keeffe-Rosetti ◽  
...  
Keyword(s):  
Medical Care ◽  
Advanced Cancer ◽  
De Novo ◽  
Medical Care Cost ◽  
Service Type

scholarly journals Average medical cost of fatal and non-fatal injuries by type in the USA

2019 ◽  
pp. injuryprev-2019-043544 ◽  
Author(s):  
Cora Peterson ◽  
Likang Xu ◽  
Curtis Florence
Keyword(s):  
Medical Care ◽  
Medical Cost ◽  
Cost Effective ◽  
Medical Care Cost ◽  
Body Region ◽  
Injury Type ◽  
Inpatient Settings ◽  
The Usa ◽  
Multivariable Regression ◽  
Fatal Injuries

ObjectiveTo estimate the average medical care cost of fatal and non-fatal injuries in the USA comprehensively by injury type.MethodsThe attributable cost of injuries was estimated by mechanism (eg, fall), intent (eg, unintentional), body region (eg, head and neck) and nature of injury (eg, fracture) among patients injured from 1 October 2014 to 30 September 2015. The cost of fatal injuries was the multivariable regression-adjusted average among patients who died in hospital emergency departments (EDs) or inpatient settings as reported in the Healthcare Cost and Utilization Project Nationwide Emergency Department Sample and National Inpatient Sample, controlling for demographic (eg, age), clinical (eg, comorbidities) and health insurance (eg, Medicaid) factors. The 1-year attributable cost of non-fatal injuries was assessed among patients with ED-treated injuries using MarketScan medical claims data. Multivariable regression models compared total medical payments (inpatient, outpatient, drugs) among non-fatal injury patients versus matched controls during the year following injury patients’ ED visit, controlling for demographic, clinical and insurance factors. All costs are 2015 US dollars.ResultsThe average medical cost of all fatal injuries was approximately $6880 and $41 570 per ED-based and hospital-based patient, respectively (range by injury type: $4764–$10 289 and $31 912–$95 295). The average attributable 1-year cost of all non-fatal injuries per person initially treated in an ED was approximately $6620 (range by injury type: $1698–$80 172).Conclusions and relevanceInjuries are costly and preventable. Accurate estimates of attributable medical care costs are important to monitor the economic burden of injuries and help to prioritise cost-effective public health prevention activities.

Why Does Medical Care Cost So Much?

1970 ◽  
Vol 282 (26) ◽  
pp. 1458-1465 ◽  
Author(s):  
Walter J. McNerney
Keyword(s):  
Medical Care ◽  
Medical Care Cost

scholarly journals The Association between Charlson Comorbidity Index and the Medical Care Cost of Cancer: A Retrospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Seok-Jun Yoon ◽  
Eun-Jung Kim ◽  
Hyun-Ju Seo ◽  
In-Hwan Oh
Keyword(s):  
Colon Cancer ◽  
Medical Care ◽  
Cancer Patients ◽  
Charlson Comorbidity Index ◽  
Social Impact ◽  
Medical Costs ◽  
Medical Care Cost ◽  
Chronic Obstructive ◽  
Logistic Regression Models ◽  
Comorbidity Index

Background. This study compared comorbidity-related medical care cost associated with different types of cancer, by examining breast (N=287), colon (N=272), stomach (N=614), and lung (N=391) cancer patients undergoing surgery.Methods. Using medical benefits claims data, we calculated Charlson Comorbidity Index (CCI) and total medical cost. The effect of comorbidity on the medical care cost was investigated using multiple regression and logistic regression models and controlling for demographic characteristics and cancer stage.Results. The treatment costs incurred by stomach and colon cancer patients were 1.05- and 1.01-fold higher, respectively, in patients with higher CCI determined. For breast cancer, the highest costs were seen in those with chronic obstructive pulmonary disease (COPD), but the increase in cost reduced as CCI increased. Colon cancer patients with diabetes mellitus and a CCI = 1 score had the highest medical costs. The lowest medical costs were incurred by lung cancer patients with COPD and a CCI = 2 score.Conclusion. The comorbidities had a major impact on the use of medical resources, with chronic comorbidities incurring the highest medical costs. The results indicate that comorbidities affect cancer outcomes and that they must be considered strategies mitigating cancer’s economic and social impact.

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