RevCycle Intelligence May 3, 2017
Researchers suggest a broad approach to healthcare cost reduction efforts because high-cost patients are not concentrated by hospital or market.
A recent American Journal of Managed Care study attempting to understand why some patients incur higher healthcare costs than others found that high-cost patients were evenly spread across providers and healthcare markets.
Using a 20 percent sample of Medicare fee-for-service claims data from 2011 to 2012, Harvard University researchers found that hospital and market did not indicate high-cost patient concentration.
However, the analysis revealed that hospitals that were either academic teaching or for-profit organizations in urban settings and served greater proportions of low-income patients tended to have slightly more high-cost patients.
“High-cost beneficiaries are only modestly concentrated in specific...