IR4: BUDESONIDE GAVE LOWER HEALTH CARE COSTS IN ASTHMA TREATMENT THAN FLUTICASONE PROPIONATE

Introduction: The association between poor physical fitness and adverse health outcomes is well-established, but few data are available regarding the association between fitness and health care costs. Hypothesis: Higher fitness is associated with lower overall health care costs. Methods: We studied 1,294 patients (mean 64±12 years) who underwent maximal exercise testing for clinical reasons as part of the Veterans Exercise Testing Study (VETS). Fitness was expressed as the percentage of age-predicted peak METs achieved, and categorized in quartiles. Total and annualized health care costs, derived from the VA Allocated Resource Center, were assessed between 2005 and 2010. Health care costs between quartiles of fitness were compared using ANOVA; multiple regression was used to determine clinical and exercise test predictors of health care costs. Follow-up for all-cause mortality (mean 8.5±5 years) was performed through March 2013. Results: A gradient for reduced health care costs was observed with increased fitness, with subjects in the least-fit quartile having approximately twice the overall costs as those in the fittest quartile (Table). Non-survivors were significantly less fit (6.5±5.1 vs. 9.1±3.5 METs, p<0.001) and exhibited roughly 3 times the health care costs of those who survived. In a multivariate model including historical, clinical and exercise test responses, fitness was a significant predictor of health care costs (p<0.01). Conclusions: Low fitness is associated with a significant burden on the health care system. Improving fitness should be encouraged for its potential to lower health care costs.

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Can Better Care Coordination Lower Health Care Costs?

JAMA Network Open ◽

10.1001/jamanetworkopen.2018.4295 ◽

2018 ◽

Vol 1 (7) ◽

pp. e184295 ◽

Cited By ~ 3

Author(s):

Dhruv Khullar ◽

Dave A. Chokshi

Keyword(s):

Health Care ◽

Health Care Costs ◽

Care Coordination ◽

Lower Health ◽

Care Costs

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Book Review: Zapp! Empowerment in Health Care: How to Improve Patient Care, Increase Job Satisfaction, and Lower Health Care Costs

Journal of Pastoral Care ◽

10.1177/002234099404800120 ◽

1994 ◽

Vol 48 (1) ◽

pp. 105-106

Author(s):

Paul A. Schwan

Keyword(s):

Job Satisfaction ◽

Health Care ◽

Patient Care ◽

Health Care Costs ◽

Improve Patient Care ◽

Lower Health ◽

Care Costs ◽

Improve Patient

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Physical Activity and Changes in Health Care Costs in Late Middle Age

Journal of Physical Activity and Health ◽

10.1123/jpah.3.s1.s6 ◽

2006 ◽

Vol 3 (s1) ◽

pp. S6-S19 ◽

Cited By ~ 21

Author(s):

Tatiana Andreyeva ◽

Roland Sturm

Keyword(s):

Physical Activity ◽

Health Care ◽

Health Care Costs ◽

Health Expenditure ◽

Middle Age ◽

National Sample ◽

Cross Sectional ◽

Lower Health ◽

Sample Age ◽

Care Costs

Background:Physical activity has clear health benefits but there remains uncertainty about how it affects health care costs.Objective:To examine how physical activity is associated with changes in health expenditure for a national sample age 54 to 69 y, and estimate how this association varies across people with different chronic diseases and health behaviors.Methods:Data were from the Health and Retirement Study, a national longitudinal survey of late middle age Americans.Results:Correcting for baseline differences in active and inactive groups, physical activity was associated with reduced health care costs of about 7% over 2 y (or $483 annually).Conclusions:Regular physical activity in late middle age may lower health expenditure over time, and the effect is likely to be more pronounced for the obese, smokers, and individuals with some baseline health problems. While substantially large for the health care system, our estimates are much smaller than health-unadjusted comparisons or cross-sectional effects.

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How To Lower Health Care Costs by Improving Health Care Quality

Journal of Nursing Care Quality ◽

10.1097/00001786-199604000-00014 ◽

1996 ◽

Vol 10 (3) ◽

pp. 81

Author(s):

&NA;

Keyword(s):

Health Care ◽

Health Care Costs ◽

Health Care Quality ◽

Care Quality ◽

Lower Health ◽

Care Costs ◽

Improving Health Care

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Faculty Opinions recommendation of Hepatitis C virus therapy is associated with lower health care costs not only in noncirrhotic patients but also in patients with end-stage liver disease.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718087930.793484282 ◽

2013 ◽

Author(s):

Brian J McMahon

Keyword(s):

Health Care ◽

Hepatitis C Virus ◽

Liver Disease ◽

Hepatitis C ◽

Health Care Costs ◽

End Stage Liver Disease ◽

Lower Health ◽

End Stage ◽

Care Costs

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Medical costs associated with imatinib (IM) non-compliance in chronic myeloid leukemia (CML) patients (pts)

Journal of Clinical Oncology ◽

10.1200/jco.2007.25.18_suppl.17514 ◽

2007 ◽

Vol 25 (18_suppl) ◽

pp. 17514-17514

Author(s):

E. Q. Wu ◽

W. Feng ◽

S. Johnson ◽

N. Beaulieu ◽

P. Cremieux ◽

...

Keyword(s):

Health Care ◽

Health Care Costs ◽

Medication Possession Ratio ◽

Medical Costs ◽

Drug Costs ◽

Lower Health ◽

Comorbidity Index ◽

Hospital Days ◽

Care Costs ◽

Different Levels

17514 Background: Not adhering to treatment (tx) may lead to suboptimal outcomes. This study examined associations between medical costs and IM compliance in CML pts. Methods: CML pts under age 65 were identified with ICD-9 diagnosis code (205.1X) using MarketScan Commercial Claims data between 1/1/02–12/31/05. Pts were required to be continuously enrolled in the 4 months prior to (baseline) and the 6 months following (study period) IM initiation. CML severity was categorized into 3 groups by diagnosis of CML and related comorbidities. Compliance was defined by medication possession ratio (MPR=total days of IM supply in the study period divided by 180), and stratified into 3 groups (low: <65%, medium: 65–95%, high: 95–100%). Tx interruption was defined as tx gap of 30 or more consecutive days in the study period. Costs for inpatient (IP), ER, outpatient (OP) services and OP drugs during the study period were adjusted to 2005 dollars. Costs, the number of IP admissions and hospital days were compared across different levels of tx compliance using Wilcoxon tests. A generalized linear model (GLM) was also used to compare costs controlling for age, sex, CML severity, Charlson comorbidity index, year of IM start, etc. Results: The study sample consisted of 404 pts. Compared to the high MPR group, pts in the low MPR group incurred 1.6 times the average total health care costs (p <.001), 5.9 times the IP costs (p<.001), 2.6 times the OP costs (p=.722), 2.1 times the non-IM drug costs (p<.001), and 0.39 times the IM drug costs (p<.001). Compared to the high MPR pts, low MPR pts had on average 3.8 times the IP admissions (p<.001), and 7.3 times the IP days (p<.001). Comparing costs of pts interrupting tx versus those who did not showed similar trends. GLM regression showed that 6-month total health care costs per patient in the low MPR group were 1.4 times (p<.01) those of the high MPR group. Pts who had tx interruption had 1.3 times the total health care costs (p<.01) compared to those who did not. Conclusions: This study shows that better IM compliance was associated with significantly lower health care costs in CML pts, especially for IP costs. Further analyses will be conducted to confirm whether lower compliance leads to more hospitalizations. No significant financial relationships to disclose.

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