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...

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Topics: CMS, Employer, Health System / Hospital, Market Research, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Private Exchange, Provider, Public Exchange, RCM (Revenue Cycle Mgmt), Self-insured
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