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Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System
Kevin P Fiori1, Samantha R Levano, Silvie Colman
1Author Affiliations: Department of Pediatrics (Dr Fiori, Mss Levano, Haughton, and Lemberg, Dr Telzak, Mr Sirois, and Dr Racine), Department of Family and Social Medicine (Dr Fiori, Mss Levano and Haughton, Drs Chambers and Telzak, Mr Sirois, and Dr Stark), Department of Medicine (Dr Stark), Albert Einstein College of Medicine, Bronx, New York; Office of Community & Population Health, Montefiore Health System, Bronx, New York (Dr Fiori and Ms Spurrell-Huss); Network Performance Group, Montefiore Medical Center, Bronx, New York (Dr Colman); and Department of Financial Planning and Analysis, Montefiore Health System, Bronx, New York (Mr Oliveira).
None:
Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.
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