Use of insurance claims data to assess outpatient antimicrobial therapy for gram-positive infections
Yehuda Carmeli1, Essy Mozaffari
1Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA. ycarmeli@caregroup.harvard.edu
Abstract:
With the increasing frequency of antibiotic-resistant gram-positive infections in the United States, many patients are being treated outside the hospital setting. The majority of studies on the cost of outpatient antimicrobial therapy involve retrospective medical record review or prospective data collection. These methods tend to be expensive and time consuming, and often fail to produce a sufficiently large sample size. Analysis of insurance claims data offers a convenient approach for studying the costs associated with outpatient therapy for gram-positive infections. To demonstrate this approach, a study of the cost of intravenous vancomycin home care therapy was conducted using claims data from a large insurance company.
Insights
Analyzing insurance claims data provides a cost-effective method for studying outpatient antimicrobial therapy. This approach was used to assess the expenses of home care for gram-positive infections treated with vancomycin.
Area of Science:
- Infectious Diseases
- Health Economics
- Pharmacoeconomics
Background:
- Rising prevalence of antibiotic-resistant gram-positive infections necessitates increased outpatient treatment.
- Current cost-assessment methods for outpatient antimicrobial therapy are often resource-intensive and yield small sample sizes.
- Insurance claims data present a feasible alternative for large-scale cost analyses.
Purpose of the Study:
- To evaluate the utility of insurance claims data for analyzing outpatient antimicrobial therapy costs.
- To determine the cost of intravenous vancomycin home care for gram-positive infections.
Main Methods:
- Retrospective analysis of insurance claims data from a large insurance provider.
- Focus on patients receiving home care for gram-positive infections treated with intravenous vancomycin.
Main Results:
- Insurance claims data offer a convenient and potentially more efficient method for cost studies.
- Specific cost data for vancomycin home care were obtained.
Conclusions:
- Insurance claims data are a valuable resource for understanding the economic burden of outpatient antimicrobial therapy.
- This methodology can support healthcare policy and resource allocation for managing infectious diseases.
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