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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Comprehensive healthcare resource use among newly diagnosed congestive heart failure

Lori D Bash1, Dahlia Weitzman2,3, Robert O Blaustein1

  • 1Merck & Co., Inc., Kenilworth, NJ USA.

Israel Journal of Health Policy Research
|June 9, 2017
PubMed

Insights

Congestive heart failure (CHF) significantly increases healthcare costs, with patients incurring two to three times higher expenses than those without the condition. This highlights opportunities for cost control in managing CHF patients.

Area of Science:

  • Cardiology
  • Health Economics

Background:

  • Congestive heart failure (CHF) is a leading cause of hospital admissions.
  • The economic burden of ambulatory care for CHF is less understood.
  • This study assesses the comprehensive direct medical costs of CHF.

Purpose of the Study:

  • To evaluate the relative burden and direct medical costs of congestive heart failure (CHF).
  • To compare healthcare utilization and costs between CHF patients and matched controls.
  • To analyze costs across inpatient and outpatient settings.

Main Methods:

  • Utilized longitudinal clinical data from a large Israeli health organization (2006-2012).
  • Identified and matched adults with newly diagnosed CHF to controls without CHF.
  • Compared healthcare utilization and costs, excluding individuals in their final year of life.

Main Results:

  • CHF patients (n=6592) showed significantly higher comorbidity and healthcare utilization than controls (n=32,960).
  • Costs were elevated across all service categories (inpatient, outpatient, medications, labs) for CHF patients.
  • CHF patients incurred 2.08 to 3.25 times higher healthcare costs compared to non-CHF individuals, varying by age.

Conclusions:

  • Congestive heart failure (CHF) is associated with a 2-3 fold increase in healthcare costs.
  • CHF accounts for over half of healthcare costs in elderly patients and two-thirds in younger patients.
  • Findings suggest significant opportunities for cost containment in managing CHF, particularly in younger populations.
Abstract

Keywords:
Community healthCongestive heart failureCosts of careHealthcare utilization

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