Identifying High-Cost, High-Need Patients in a Network of Community Hospitals
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 w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-02-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319241233410 |
| _version_ | 1797296054533619712 |
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| author | Gabriel Zdrale Alison Essary Stephan Bremer Wesley Peng Weiqi Chen Edward Kalpas |
| author_facet | Gabriel Zdrale Alison Essary Stephan Bremer Wesley Peng Weiqi Chen Edward Kalpas |
| author_sort | Gabriel Zdrale |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T21:57:50Z |
| format | Article |
| id | doaj.art-160916f4f981446d924136532caae8e0 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-03-07T21:57:50Z |
| publishDate | 2024-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-160916f4f981446d924136532caae8e02024-02-24T10:03:35ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-02-011510.1177/21501319241233410Identifying High-Cost, High-Need Patients in a Network of Community HospitalsGabriel Zdrale0Alison Essary1Stephan Bremer2Wesley Peng3Weiqi Chen4Edward Kalpas5HonorHealth, Scottsdale, AZ, USANorthern Arizona University, Phoenix, AZ, USAUniversity of Arizona, Tucson, AZ, USAHonorHealth, Scottsdale, AZ, USAArizona State University, Tempe, AZ, USAHonorHealth, Scottsdale, AZ, USAWe 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.https://doi.org/10.1177/21501319241233410 |
| spellingShingle | Gabriel Zdrale Alison Essary Stephan Bremer Wesley Peng Weiqi Chen Edward Kalpas Identifying High-Cost, High-Need Patients in a Network of Community Hospitals Journal of Primary Care & Community Health |
| title | Identifying High-Cost, High-Need Patients in a Network of Community Hospitals |
| title_full | Identifying High-Cost, High-Need Patients in a Network of Community Hospitals |
| title_fullStr | Identifying High-Cost, High-Need Patients in a Network of Community Hospitals |
| title_full_unstemmed | Identifying High-Cost, High-Need Patients in a Network of Community Hospitals |
| title_short | Identifying High-Cost, High-Need Patients in a Network of Community Hospitals |
| title_sort | identifying high cost high need patients in a network of community hospitals |
| url | https://doi.org/10.1177/21501319241233410 |
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