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Costs associated with cardiovascular events in patients with hypertension in US managed care settings

Mei Sheng Duh1, Nicole M Fulcher, Leigh Ann White

  • 1Analysis Group, Inc., Boston, Massachusetts, USA.

Journal of the American Society of Hypertension : JASH
|April 23, 2010
PubMed

Insights

Cardiovascular events significantly increase healthcare costs for hypertensive patients, especially those with high-risk conditions. Acute myocardial infarction and heart failure incur the highest incremental costs, primarily driven by inpatient services.

Area of Science:

  • Health Economics
  • Cardiovascular Medicine
  • Hypertension Management

Background:

  • Hypertension (HTN) is a prevalent condition often coexisting with high-risk factors.
  • Cardiovascular (CV) events represent significant complications of uncontrolled hypertension.
  • Understanding the economic burden of CV events in specific patient subgroups is crucial for resource allocation.

Purpose of the Study:

  • To quantify the incremental healthcare costs associated with cardiovascular events in high-risk and compelling indication subgroups of hypertensive patients.
  • To compare costs between hypertensive patients with and without CV events, and before and after CV events.

Main Methods:

  • Retrospective analysis of claims data from privately insured individuals diagnosed with hypertension between 2004 and 2006.
  • Regression-adjusted per-member-per-month healthcare costs were estimated post-cardiovascular event (CVE).
  • Costs were analyzed across inpatient, outpatient, and prescription drug components for various CV events.

Main Results:

  • Healthcare costs were significantly higher across all components for hypertensive patients experiencing CV events compared to controls.
  • Acute myocardial infarction (MI) and congestive heart failure (CHF) demonstrated the largest incremental total healthcare costs.
  • Inpatient costs constituted the primary driver of healthcare expenditures in the first quarter following a CV event.

Conclusions:

  • Cardiovascular events are expensive complications of hypertension, particularly in high-risk populations.
  • The findings highlight the substantial economic impact of managing CV events in patients with conditions like diabetes, chronic kidney disease, and prior stroke.
  • Effective hypertension management and prevention of CV events are essential to mitigate significant healthcare expenditures.

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