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Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic

This study assesses the cost-effectiveness of an insurance administration-free, hospital-based clinic designed to provide a full array of primary care services to low-income individuals at little or no cost. In addition to low/no-cost visits, individuals have the option to purchase a low-cost health...

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Detalles Bibliográficos
Autores principales: Agee, Mark D., Gates, Zane, Reilly, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289068/
https://www.ncbi.nlm.nih.gov/pubmed/28462248
http://dx.doi.org/10.1177/2333392814557011
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author Agee, Mark D.
Gates, Zane
Reilly, Patrick
author_facet Agee, Mark D.
Gates, Zane
Reilly, Patrick
author_sort Agee, Mark D.
collection PubMed
description This study assesses the cost-effectiveness of an insurance administration-free, hospital-based clinic designed to provide a full array of primary care services to low-income individuals at little or no cost. In addition to low/no-cost visits, individuals have the option to purchase a low-cost health insurance plan similar to any traditional health plan (eg, prescriptions, primary care, specialty care, durable medical equipment, radiology, laboratory test results). We used 3 years of data (2009-2012) on emergency department (ED) visits and inpatient hospital admissions from clinic patients and patients at the community’s 2 largest private physician groups to assess the cost-effectiveness of the hospital-based clinic in terms of ED and inpatient admission costs avoided and financial sustainability of the low-cost insurance plan. Estimated annual savings in hospital inpatient and ED costs were approximately 1.4 million. Insurance plan data indicated sound fiscal sustainability with modest provider reimbursement growth and zero annual premium growth.
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spelling pubmed-52890682017-05-01 Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic Agee, Mark D. Gates, Zane Reilly, Patrick Health Serv Res Manag Epidemiol Article This study assesses the cost-effectiveness of an insurance administration-free, hospital-based clinic designed to provide a full array of primary care services to low-income individuals at little or no cost. In addition to low/no-cost visits, individuals have the option to purchase a low-cost health insurance plan similar to any traditional health plan (eg, prescriptions, primary care, specialty care, durable medical equipment, radiology, laboratory test results). We used 3 years of data (2009-2012) on emergency department (ED) visits and inpatient hospital admissions from clinic patients and patients at the community’s 2 largest private physician groups to assess the cost-effectiveness of the hospital-based clinic in terms of ED and inpatient admission costs avoided and financial sustainability of the low-cost insurance plan. Estimated annual savings in hospital inpatient and ED costs were approximately 1.4 million. Insurance plan data indicated sound fiscal sustainability with modest provider reimbursement growth and zero annual premium growth. SAGE Publications 2014-12-12 /pmc/articles/PMC5289068/ /pubmed/28462248 http://dx.doi.org/10.1177/2333392814557011 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Article
Agee, Mark D.
Gates, Zane
Reilly, Patrick
Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title_full Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title_fullStr Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title_full_unstemmed Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title_short Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic
title_sort cost-effectiveness of a low-cost, hospital-based primary care clinic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289068/
https://www.ncbi.nlm.nih.gov/pubmed/28462248
http://dx.doi.org/10.1177/2333392814557011
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