Innovations to cut US healthcare prices

Khullar, Dhruv; Rajkumar, Rahul

doi:10.1136/bmj.k1591

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Further, in comparison to other countries, US consumers pay more for provider services, hospital services, drugs, and diagnostic tests [ 29 ]. In the US, the inpatient medication price is two times more than in Canada; MRIs cost three times more than in Australia, and the price for coronary artery bypass is four times more expensive than in the Netherlands (Figure 1 ) [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

Choosing Wisely Campaign – Innovations in Cardiovascular Science and The United States Healthcare System

Rehman

Ali

Mangi

2018

Cureus

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The United States (US) is the third most expensive health care system in the world, but despite that, the US ranked last in the top 50 countries of the world when it comes to the performance measures, such as healthcare efficiency, life expectancy, health care costs, and gross domestic product (GDP) percentage. The spending health care cost keeps increasing and most of the healthcare costs go to waste. Due to this reason, it is therefore extremely important to focus on improving the quality and to bring the costs in appropriate control. To avoid this issue, the Choosing Wisely Campaign (CWC) came into being in 2012. The CWC encourages discussions between providers and patients regarding the care based on the evidence base, free from harm, duplicative or redundant tests/procedures that the patient already received, and whether medications, tests, or procedures are really necessary. Although diagnostic tests or procedures are highly valued for decision-making, unnecessary testing creates harmful health services and an economic impact on the healthcare system. The CWC has spread widely throughout the world but has many challenges which are limiting the CWC in further adoption and spread in the US. To overcome challenges in implementing and spreading the CWC, the government, physicians, social media, and mass media play an important role.

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Section: Reviewmentioning

confidence: 99%

Choosing Wisely Campaign – Innovations in Cardiovascular Science and The United States Healthcare System

Rehman

Ali

Mangi

2018

Cureus

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“…Cost is an important and growing concern in orthopedics and healthcare, as expenditures can dramatically outpace inflation and strain the healthcare system in an unsustainable way. [1][2][3] Therefore, it is imperative to evaluate orthopedic management strategies by not only their clinical benefits, but also their financial costs. A number of studies have identified substantial variation in the costs of implants and procedures-even between similar types of injurieswhich identifies a modifiable cost factor for improving value in orthopedic surgery.…”

Section: Introductionmentioning

confidence: 99%

Charges for Distal Radius Fracture Fixation Are Affected by Fracture Pattern, Location of Service, and Anesthesia Type

Goodman

Brodeur

Cruz

et al. 2022

Hand (New York, N,Y.)

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Background: This study sought to characterize charges associated with operative treatment of distal radius fractures and identify sources of variation contributing to overall cost. Methods: A retrospective study was performed using the New York Statewide Planning and Research Cooperative System database from 2009-2017. Outpatient claims were identified using the International Classification of Diseases-9/10-Clinical Modification diagnosis codes for distal radius fixation surgery. A multivariable mixed model regression was performed to identify variables contributing to total charges of the claim, including patient demographics, anesthesia method, surgery location (ambulatory surgery center [ASC] versus a hospital outpatient department [HOPD], operation time, insurance type, Charlson Comorbidity Index, and billed procedure codes. Results: A total of 9029 claims were included, finding older age, private primary insurance, surgery performed in a HOPD, and use of local anesthesia (vs general or regional) associated with increased total charges. There was no difference between gender, race, or ethnicity. Additionally, open reduction and internal fixation (ORIF), increased operative time/fracture complexity, and use of perioperative medications contributed significantly to overall costs. Conclusions: Charges for distal radius fracture surgery performed in a HOPD were 28.3% higher than compared to an ASC, and cases with local anesthesia had higher billed claims compared to regional or general anesthesia. Furthermore, charges for percutaneous fixation were 54.6% lower than ORIF of extraarticular fracture, and claims had substantial geographic variation. These findings may be used by providers and payers to help improve value of distal radius fracture care. Level of Evidence: Level III

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Suggested strategies to control healthcare spending in USA

2018

PharmacoEcon Outcomes News

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Innovations to cut US healthcare prices

Abstract: Efforts to limit healthcare spending should focus on lowering prices as well as reducing use, argue Dhruv Khullar and Rahul Rajkumar

Cited by 3 publications

References 17 publications

Choosing Wisely Campaign – Innovations in Cardiovascular Science and The United States Healthcare System

Choosing Wisely Campaign – Innovations in Cardiovascular Science and The United States Healthcare System

Charges for Distal Radius Fracture Fixation Are Affected by Fracture Pattern, Location of Service, and Anesthesia Type

Suggested strategies to control healthcare spending in USA

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