Re: Measuring the Cost of Care in Benign Prostatic Hyperplasia Using Time-Driven Activity-Based Costing (TDABC)

2015 ◽  
Vol 194 (5) ◽  
pp. 1355-1356 ◽  
Author(s):  
Steven A. Kaplan
Healthcare ◽  
2015 ◽  
Vol 3 (1) ◽  
pp. 43-48 ◽  
Author(s):  
A.L. Kaplan ◽  
N. Agarwal ◽  
N.P. Setlur ◽  
H.J. Tan ◽  
D. Niedzwiecki ◽  
...  

2021 ◽  
Vol 8 (1) ◽  
pp. 42-50
Author(s):  
Bilal Chughtai ◽  
Sirikan Rojanasarot ◽  
Kurt Neeser ◽  
Dmitry Gultyaev ◽  
Stacey L. Amorosi ◽  
...  

Background: Benign prostatic hyperplasia (BPH) is one of the most prevalent and costly chronic conditions among middle-aged and elderly men. Prostatic urethral lift (PUL) and convective water vapor thermal therapy (WVTT) are emerging minimally invasive surgical treatments as an alternative to traditional treatment options for men with moderate-to-severe BPH. This study evaluated the cost-effectiveness and budget impact of PUL and WVTT for men with BPH using long-term clinical outcomes. Methods: The cost-effectiveness and budget impact models were developed from a US Medicare perspective over a 4-year time horizon. The models were populated with males with a mean age of 63 and an average International Prostate Symptom Score (IPSS) of 22. Clinical inputs were extracted from the LIFT and Rezum II randomized controlled trials at 4 years. Utility values were assigned using IPSS and BPH severity levels. Procedural, adverse event, retreatment, follow-up, and medication costs were based on 2019 Medicare payment rates and Medicare Part D drug spending. One-way and probabilistic sensitivity analyses (PSAs) were performed. Results: At 4 years, PUL was associated with greater retreatment rates (24.6% vs 10.9%), lower quality-adjusted life-years (QALYs) (3.490 vs 3.548) and higher total costs (US$7393 vs US$2233) compared with WVTT, making WVTT the more effective and less costly treatment strategy. The 70% total cost difference of PUL and WVTT was predominantly driven by higher PUL procedural (US$5617 vs US$1689) and retreatment (US$976 vs US$257) costs. The PSA demonstrated that relative to PUL, WVTT yielded higher QALYs and lower costs 99% and 100% of the time, respectively. Conclusions: Compared to PUL, WVTT was a cost-effective and cost-saving treatment of moderate-to-severe BPH. These findings provide evidence for clinicians, payers, and health policy makers to help further define the role of minimally invasive surgical treatments for BPH.


2010 ◽  
Vol 105 (7) ◽  
pp. 901-902 ◽  
Author(s):  
Roger S. Kirby ◽  
Mike Kirby ◽  
John M. Fitzpatrick

Author(s):  
Dr. Mohamed Abualhaija

Many US healthcare providers can’t easily calculate the cost of treating patients. They use simple calculations such as the cost-to-charge ratio (CCR) which Medicare uses for reimbursement purposes and the ratio-of-cost-to-charge (RCC) which allocates costs to patients based on revenue generated from revenue centers. Healthcare providers are unique, provide different services, and use different resources for treatments. A-one-size-fits-all costing system can’t work for all sizes and different specialty practices. Scholars suggested many costing methods that can be used in different healthcare practices, such as the unit cost analysis, the standard costing method, the gross-costing method, the chart of accounts, the resource-based relative value units (RBRVS), the step-down cost accounting (SDCA), and the activity-based costing (ABC). The purpose of this article is to recommend a costing method that can be easily learned and applied by different size healthcare providers. The proposed hybrid costing approach can help providers calculate the cost of care by capturing the cost of routine and standard exams, treatments, services, and procedures using the process costing system, and capture all other costs that are unique to each patient using the job order costing system. Adequately determining the cost of care will help healthcare leaders improve planning and budgeting for target income and achieve organizational efficiency and effectiveness.


2004 ◽  
Vol 93 (3) ◽  
pp. 250-252 ◽  
Author(s):  
C.L. Foley ◽  
C. Taylor ◽  
R.S. Kirby

Sign in / Sign up

Export Citation Format

Share Document