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. 2017 May 10:10:63-70.
doi: 10.2147/RMHP.S130341. eCollection 2017.

Economic burden of hospitalizations of Medicare beneficiaries with heart failure

Meredith Kilgore  1 , Harshali K Patel  2 , Adrian Kielhorn  2 , Juan F Maya  2 , Pradeep Sharma  1
Affiliations

Economic burden of hospitalizations of Medicare beneficiaries with heart failure

Meredith Kilgore et al. Risk Manag Healthc Policy. .

Abstract

Objective: The objective of this study was to assess the costs associated with the hospitalization and the cumulative 30-, 60-, and 90-day readmission rates in a cohort of Medicare beneficiaries with heart failure (HF).

Methods: This was a retrospective, observational study based on data from the national 5% sample of Medicare beneficiaries. Inpatient data were gathered for Medicare beneficiaries with at least one HF-related hospitalization between July 1, 2005, and December 31, 2011. The primary end point was the average per-patient cost of hospitalization for individuals with HF. Secondary end points included the cumulative rate of hospitalization, the average length of hospital stay, and the cumulative 30-, 60-, and 90-day readmission rates.

Results: Data from 63,678 patients with a mean age of 81.8 years were included in the analysis. All costs were inflated to $2,015 based on the medical care component of the Consumer Price Index. The mean per-patient cost of an HF-related hospitalization was $14,631. The mean per-patient cost of a cardiovascular (CV)-related or all-cause hospitalization was $16,000 and $15,924, respectively. The cumulative rate of all-cause hospitalization was 218.8 admissions per 100 person-years, and the median length of stay for HF-related, CV-related, and all-cause hospitalizations was 5 days. Also, 22.3% of patients were readmitted within 30 days, 33.3% were readmitted within 60 days, and 40.2% were readmitted within 90 days.

Conclusion: The costs associated with hospitalization for Medicare beneficiaries with HF are substantial and are compounded by a high rate of readmission.

Keywords: Medicare; costs; health economics; heart failure; hospitalization.

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Conflict of interest statement

Disclosure MK and PS have previously received grants/research support from Amgen, Inc. HKP, AK, and JM are employees of Amgen, Inc. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Patient selection. Abbreviations: HF, heart failure, HMO, Health Maintenance Organization.
Figure 2
Figure 2
Hospitalization costs by type (mean). Notes: Other, other insurance, deductibles, and copayments. Abbreviations: CMS, Centers for Medicare and Medicaid Services; CV, cardiovascular; HF, heart failure.
Figure 3
Figure 3
All-cause 30- and 60-day readmission rates by year.
See this image and copyright information in PMC

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