Payments for Acute Myocardial Infarction Episodes-of-Care Initiated at Hospitals With and Without Interventional Capabilities

Ben-Josef, Gal; Ott, Lesli S.; Spivack, Steven B.; Wang, Changqin; Ross, Joseph S.; Shah, Sachin J; Curtis, Jeptha P.; Kim, Nancy; Krumholz, Harlan M.; Bernheim, Susannah M.

doi:10.1161/circoutcomes.114.000927

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…To estimate the costs of a heart attack , I used three studies, 69–71 each of which covered a component: Ben-Joseph and Afana estimated immediate Medicare hospital costs for the first 30 days after an MI, and NBER estimated the cost to health insurers for the first 90 days after a heart attack. Assuming that these early costs are the highest and that costs for the rest of the year are lower, I assumed these peaks constituted 2/3 of the annual medical costs for a heart attack.…”

Section: Methods and Datamentioning

confidence: 99%

The attributable annual health costs of U.S. occupational lead poisoning

Levin¹

2016

International Journal of Occupational and Environmental Health

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Background: U.S. occupational lead standards have not changed for decades, while knowledge about lead’s health effects has grown substantially. Objective: The objective of this analysis was twofold: to estimate the attributable annual societal costs of health damages associated with occupationally lead-exposed U.S. workers and, more broadly, to develop methods for a fuller valuation of health damages. Methods: I combined data voluntarily reported to NIOSH on the number of highly exposed workers with published literature on the health effects of lead in adults to estimate the potential health benefits of lowering the U.S. occupational limit. I developed simple algorithms for monetizing more fully both the direct medical and indirect (productivity) damages associated with those high lead exposures. Results: I estimated direct medical costs of $141 million (2014US$) per year for 16 categories of health endpoints, and combined direct and indirect costs of over $392 million (2014US$) per year for the 10,000 or so U.S. workers with high occupational lead exposures. Conclusions: Reducing allowable occupational lead limits produces annual societal benefits of almost $40,000 per highly exposed worker. Given underreporting of actual exposures and the omission of important health effects, this is likely a severe underestimate.

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Section: Methods and Datamentioning

confidence: 99%

The attributable annual health costs of U.S. occupational lead poisoning

Levin¹

2016

International Journal of Occupational and Environmental Health

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“…Lee et al 7 demonstrated that a multifaceted value-driven informatics tool improved both clinical processes of care and reduced costs for the University of Utah Health Care. Finally, Ben-Josef et al 8 demonstrated that Medicare patients initially presenting to percutaneous coronary intervention-capable hospitals had slightly higher 30-day costs but lower 30-day revascularization rates after the index hospital admission. These examples not only show some of the previous work focused on both components of value but also highlight opportunities to further advance the field.…”

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confidence: 99%