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The cost impact to Medicare of shifting treatment of worsening heart failure from inpatient to outpatient management settings.

by Weintraub, William S.
Citation: Clinicoeconomics & Outcomes Research. 10:855-863, 2018..Journal: ClinicoEconomics and outcomes research : CEOR.Published: ; 2018ISSN: 1178-6981.Full author list: Fitch K; Lau J; Engel T; Medicis JJ; Mohr JF; Weintraub WS.UI/PMID: 30588047.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.2147/CEOR.S184048 (Click here) Abbreviated citation: ClinicoEcon. outcomes res.. 10:855-863, 2018.Abstract: Purpose: The aim of this study was to quantify the potential cost savings to Medicare of shifting the site of treatment for worsening heart failure (HF) from inpatient to outpatient (OP) settings for a subset of worsening HF episodes among the Medicare fee-for-service (FFS) population.Abstract: Materials and methods: A cross-sectional analysis of a random 5% sample of 2014 FFS Medicare beneficiaries was conducted. Incidence and cost of worsening HF episodes in both inpatient and OP settings were identified. These results were used to calculate cost savings associated with shifting a proportion of worsening HF episodes from the inpatient to OP settings.Abstract: Results: A total of 151,908 HF beneficiaries were identified. The estimated annual cost for the treatment of worsening HF across both inpatient and OP settings ranged from USAbstract: Conclusion: Treatment options that can shift costly hospital admissions for worsening HF treatment to less expensive OP settings potentially lead to significant cost savings to Medicare. Pursuit of OP therapy options for treating worsening HF might be considered a viable alternative.

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