Comparing Medical Costs by Analyzing High-Cost Cases

1992 ◽  
Vol 6 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Wendy D. Lynch ◽  
Howard S. Teitelbaum ◽  
Deborah S. Main
Keyword(s):  
Health Risk ◽  
Medical Care ◽  
Risk Groups ◽  
Medical Costs ◽  
Health Claims

Most of the medical care expenses paid by an entire company are generated by a small percentage of employees. The most expensive employee may have costs 100 to 500 times as much as the typical employee. Instead of comparing average costs, it makes sense to investigate whether employees with unhealthy behaviors are more prone to extreme costs. This article describes methods of comparing the costs of health risk groups by examining the proportion of high-cost employees in each group. The article illustrates the methods using a health claims dataset that compares male smokers, ex-smokers, and nonsmokers.

Principles of formation of risk groups among employees at the enterprise in the Leningrad region

2020 ◽  
pp. 625-626
Author(s):  
S. A. Eselevich ◽  
V. D. Balunov ◽  
V. A. Kolesnikova
Keyword(s):  
Medical Care ◽  
Risk Groups ◽  
Health Examination ◽  
Leningrad Region ◽  
Periodic Health Examination ◽  
Large Enterprise

Generalized experience in a large enterprise, in which stood a group of workers requiring additional medical care after periodic health examination.

scholarly journals Rehabilitation Route for a Child with Cerebral Palsy: the Experience of Chuvashia

2021 ◽  
Vol 3 (1) ◽  
pp. 149-158
Author(s):  
Svetlana K. Yakovleva ◽  
Vera E. Andreeva ◽  
Elena V. Preobrazhenskaya ◽  
Roza V. Petrova ◽  
Oksana I. Milova ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Conservative Treatment ◽  
Medical Care ◽  
Risk Groups ◽  
High Tech ◽  
Highly Qualified ◽  
Gait Quality ◽  
Children With Cerebral Palsy ◽  
Chuvash Republic ◽  
The Moment

The most common cause of neurological disability in childhood is cerebral palsy. The objectives of the treatment of children with cerebral palsy are the acquisition and maintenance of new motor skills; prevention of the development of contractures and other secondary orthopedic complications; decrease in the level of pain; improving the level of childcare. At the same time, the provision of treatment and rehabilitation assistance to children with cerebral palsy requires an integrated, systematic approach. The article describes the route of rehabilitation of children with cerebral palsy in the Chuvash Republic from the moment of diagnosis until reaching the age of 18. The study was carried out on the basis of an analysis of data from the regional register of children with cerebral palsy at all stages of treatment and rehabilitation (habilitation). The first stage includes the identification of risk groups for cerebral palsy, conservative, surgical specialized medical care. The register of children with cerebral palsy made it possible to keep records of patients at the stages of treatment and rehabilitation with an assessment of the results. At the second stage, high-tech conservative and surgical treatment is carried out. After operations, patients are sent for rehabilitation to a 24-hour hospital or to a Rehabilitation Center for Children (over 3 years, 1.5 thousand children were treated, 25.7% after operations). The third stage is organized at the outpatient clinic level and in specialized sanatoriums. For 20142018 the coverage of children with cerebral palsy with conservative treatment increased 1.9 times, with botulinum therapy 2.6 times, the proportion of those who received surgery decreased to 22.4%. 92.7% of patients of the Register are covered by conservative treatment. 33.3% of operated children were referred for sanatorium-resort treatment. The control section of the rehabilitation results showed an increase in the proportion of children with improved gait quality, the ability to stand independently, walk (with support), and an increase in the average level of physical activity. A multi-level system of interagency interaction in the provision of treatment and rehabilitation assistance to children with cerebral palsy in Chuvash Republic made it possible to ensure a sufficient amount of basic and availability of highly qualified medical care, effective management and control of the stages of rehabilitation.

scholarly journals Latent Class Analysis to Represent Social Determinant of Health Risk Groups in the Medicaid Cohort of the District of Columbia

Medical Care ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Melissa L. McCarthy ◽  
Zhaonian Zheng ◽  
Marcee E. Wilder ◽  
Angelo Elmi ◽  
Paige Kulie ◽  
...  
Keyword(s):  
Health Risk ◽  
Latent Class Analysis ◽  
Latent Class ◽  
District Of Columbia ◽  
Risk Groups ◽  
Social Determinant ◽  
Class Analysis ◽  
Social Determinant Of Health

Medical Care, Medical Costs

1988 ◽  
Vol 81 (4) ◽  
pp. 637
Author(s):  
George D. Zuidema
Keyword(s):  
Medical Care ◽  
Medical Costs

Health risk influence on medical care costs and utilization among 2,898 municipal employees

1998 ◽  
Vol 15 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Michael T. Weaver ◽  
Brian G. Forrester ◽  
Kathleen C. Brown ◽  
Jennan A. Phillips ◽  
James C. Hilyer ◽  
...  
Keyword(s):  
Health Risk ◽  
Medical Care ◽  
Medical Care Costs ◽  
Municipal Employees ◽  
Care Costs

Clinical features associated with costs in early AD

Neurology ◽  
2006 ◽  
Vol 66 (7) ◽  
pp. 1021-1028 ◽  
Author(s):  
C. W. Zhu ◽  
N. Scarmeas ◽  
R. Torgan ◽  
M. Albert ◽  
J. Brandt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Medical Care ◽  
Clinical Characteristics ◽  
Medical Costs ◽  
Psychotic Symptoms ◽  
Direct Medical Costs ◽  
Medical Care Costs ◽  
Extrapyramidal Signs ◽  
Disease Costs ◽  
Care Costs

Background: Few studies on cost of caring for patients with Alzheimer disease (AD) have simultaneously considered multiple dimensions of disease costs and detailed clinical characteristics.Objective: To estimate empirically the incremental effects of patients' clinical characteristics on disease costs.Methods: Data are derived from the baseline visit of 180 patients in the Predictors Study, a large, multicenter cohort of patients with probable AD followed from early stages of the disease. All patients initially lived at home, in retirement homes, or in assisted living facilities. Costs of direct medical care included hospitalizations, outpatient treatment and procedures, assistive devices, and medications. Costs of direct nonmedical care included home health aides, respite care, and adult day care. Indirect costs were measured by caregiving time. Patients' clinical characteristics included cognitive status, functional capacity, psychotic symptoms, behavioral problems, depressive symptoms, extrapyramidal signs, comorbidities, and duration of illness.Results: A 1-point increase in the Blessed Dementia Rating Scale score was associated with a $1,411 increase in direct medical costs and a $2,718 increase in unpaid caregiving costs. Direct medical costs also were $3,777 higher among subjects with depressive symptoms than among those who were not depressed.Conclusions: Medical care costs and unpaid caregiving costs relate differently to patients' clinical characteristics. Poorer functional status is associated with higher medical care costs and unpaid caregiving costs. Interventions may be particularly useful if targeted in the areas of basic and instrumental activities of daily living.

scholarly journals Possible ways of decline of infantile death rate are in the separate regions of Russian Federation

2017 ◽  
Vol 8 (1) ◽  
pp. 89-94 ◽  
Author(s):  
Olga V Telesh ◽  
Yuriy V Petrenko ◽  
Dmitry O Ivanov
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Pregnant Women ◽  
Perinatal Care ◽  
Risk Groups ◽  
European Countries ◽  
Medical Care System ◽  
Regional Patterns ◽  
Tier System ◽  
Care System

This article considers the level of infant mortality - one of the most important criterion of “demographic prosperity “in the state. Here is brief historical characterization of demographic processes since the end of 20th century till the present in Russia. Nowadays, the level of infant mortality in Russia much higher than in most European countries. Information about the factors that affect the level of infant mortality and which ones can be controlled will help to understand why infant mortality levels are so different in Russia, European countries and USA for example. First factor is direct causes of infant mortality, the second one is medical care system responsible for pregnant women and children. Today causes of neonatal mortality and ways of eliminating these causes are analyzed. Countries with low level of infant mortality have a successful three-tier model of perinatal care. Russia is also undergoing modernization care system for children and pregnant women and the transition to a three-tier system of assistance. The main objective of the three-tier system is the direction of women in high-risk groups in the establishment of the level that has the capacity to provide them with necessary assistance. Three-tier system in different regions of Russia have different features so we have various coefficients of infant mortality. Some regions have high rates; some ones have similar level to the European countries. Such differences lead to the conclusion that we need to develop regional patterns of medical care which will take into account the specificities of each region.

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