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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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The impact of a high-risk disease management program on perinatal outcomes in a managed care organization

Michelle R Hawkins1

  • 1Johns Hopkins HealthCare, LLC, USA.

The Case Manager
|August 3, 2005
PubMed

Insights

Technological advances improve survival for premature infants but increase healthcare costs. Preterm infants disproportionately consume newborn care expenditures, impacting healthcare organizations and society.

Area of Science:

  • Neonatal medicine
  • Healthcare economics

Background:

  • Medical technology advancements have improved survival rates for micropremature and very low birth-weight infants.
  • These technological improvements have led to a substantial increase in the financial burden on healthcare organizations.

Purpose of the Study:

  • To analyze the economic impact of increased survival rates for premature infants.
  • To highlight the financial strain on healthcare systems, third-party payers, and society.

Main Methods:

  • Analysis of national healthcare expenditure data for newborn care.
  • Examination of cost distribution based on infant gestational age and birth weight.

Main Results:

  • Annual US spending on newborn care totals $10.2 billion.
  • Infants born preterm, representing 10% of the population, consume 57% of these costs.
  • This indicates a disproportionate financial burden associated with preterm birth.

Conclusions:

  • Improved survival for premature infants, while a medical success, presents a significant economic challenge.
  • The high cost of caring for preterm infants impacts healthcare organizations, payers, and the broader economy.
  • Strategies are needed to manage the financial implications of neonatal intensive care.

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