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Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016
The growth in healthcare spending is an important topic in the United States, and preterm and low-birthweight infants have some of the highest healthcare expenditures of any patient population. We performed a retrospective cohort study of spending in this population using a large, national claims da...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314662/ https://www.ncbi.nlm.nih.gov/pubmed/32103158 http://dx.doi.org/10.1038/s41372-020-0635-z |
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author | Beam, Andrew L. Fried, Inbar Palmer, Nathan Agniel, Denis Brat, Gabriel Fox, Kathe Kohane, Isaac Sinaiko, Anna Zupancic, John A. F. Armstrong, Joanne |
author_facet | Beam, Andrew L. Fried, Inbar Palmer, Nathan Agniel, Denis Brat, Gabriel Fox, Kathe Kohane, Isaac Sinaiko, Anna Zupancic, John A. F. Armstrong, Joanne |
author_sort | Beam, Andrew L. |
collection | PubMed |
description | The growth in healthcare spending is an important topic in the United States, and preterm and low-birthweight infants have some of the highest healthcare expenditures of any patient population. We performed a retrospective cohort study of spending in this population using a large, national claims database of commercially insured individuals. A total of 763,566 infants with insurance coverage through Aetna, Inc. for the first 6 months of post-natal life were included, and received approximately $8.4 billion (2016 USD) in healthcare services. Infants with billing codes indicating preterm status (<37 weeks, n = 50,511) incurred medical expenditures of $76,153 on average, while low-birthweight status (<2500 g) was associated with average spending of $114,437. Infants born at 24 weeks gestation (n = 418) had the highest per infant average expenditures of $603,778. Understanding the drivers of variation in costs within gestational age and birthweight bands is an important target for future studies. |
format | Online Article Text |
id | pubmed-7314662 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group US |
record_format | MEDLINE/PubMed |
spelling | pubmed-73146622020-06-29 Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 Beam, Andrew L. Fried, Inbar Palmer, Nathan Agniel, Denis Brat, Gabriel Fox, Kathe Kohane, Isaac Sinaiko, Anna Zupancic, John A. F. Armstrong, Joanne J Perinatol Article The growth in healthcare spending is an important topic in the United States, and preterm and low-birthweight infants have some of the highest healthcare expenditures of any patient population. We performed a retrospective cohort study of spending in this population using a large, national claims database of commercially insured individuals. A total of 763,566 infants with insurance coverage through Aetna, Inc. for the first 6 months of post-natal life were included, and received approximately $8.4 billion (2016 USD) in healthcare services. Infants with billing codes indicating preterm status (<37 weeks, n = 50,511) incurred medical expenditures of $76,153 on average, while low-birthweight status (<2500 g) was associated with average spending of $114,437. Infants born at 24 weeks gestation (n = 418) had the highest per infant average expenditures of $603,778. Understanding the drivers of variation in costs within gestational age and birthweight bands is an important target for future studies. Nature Publishing Group US 2020-02-26 2020 /pmc/articles/PMC7314662/ /pubmed/32103158 http://dx.doi.org/10.1038/s41372-020-0635-z Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Beam, Andrew L. Fried, Inbar Palmer, Nathan Agniel, Denis Brat, Gabriel Fox, Kathe Kohane, Isaac Sinaiko, Anna Zupancic, John A. F. Armstrong, Joanne Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title | Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title_full | Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title_fullStr | Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title_full_unstemmed | Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title_short | Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
title_sort | estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314662/ https://www.ncbi.nlm.nih.gov/pubmed/32103158 http://dx.doi.org/10.1038/s41372-020-0635-z |
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