根据疾病的严重程度和持续时间划分COVID-19的保险公司成本
Chantal E Holy1, Brandon J Patterson, Jill W Ruppenkamp
1Johnson & Johnson, 410 George St, New Brunswick, NJ 08901.
The American journal of managed care
|March 8, 2024
概括
随着疾病的严重程度,COVID-19治疗成本显著增加. 严重病例的成本是中度病例的10倍以上,而COVID-19后的情况增加了相当大的财务负担.
科学领域:
- 卫生经济学 卫生经济学
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着疾病的严重程度的变化,COVID-19对公共卫生构成了重大挑战.
- 了解COVID-19对医疗保健系统的经济影响对于资源分配至关重要.
- 商业保险数据提供了关于管理COVID-19患者的财务负担的见解.
研究的目的:
- 分析针对COVID-19的美国商业保险支付.
- 评估疾病的严重程度和持续时间如何影响医疗保健成本.
- 量化COVID-19后情况的财务影响.
主要方法:
- 对Merative MarketScan商业数据库的回顾性分析 (2020年4月至2021年6月).
- 738,339名COVID-19患者按疾病严重程度分层 (无症状至严重/危急).
- 估计疾病持续时间和确定COVID-19后的病情 (PCC) (>12周).
- 使用通用线性模型分析所有原因支付 (ACP) 和特定疾病支付 (DSP).
主要成果:
- 疾病特定支付 (DSP) 范围从217美元 (无症状) 到28250美元 (严重/危急).
- 所有原因支付 (ACP) 从505美元 (无症状) 到46,538美元 (严重/危急).
- 与较短持续时间的病例相比,严重/危急的PCC病例在ACP增加了约95,000美元.
结论:
- 随着疾病的严重程度,COVID-19治疗费用急剧上升.
- 严重/危急的COVID-19病例对商业保险公司来说是一个巨大的财务负担.
- 后COVID-19条件显著增加严重病例的医疗保健支出.
相关概念视频
Actuarial Approach
78
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
78
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
126
Classification of Illness
7.5K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.5K
Censoring Survival Data
91
Survival analysis is a statistical method used to analyze time-to-event data, often employed in fields such as medicine, engineering, and social sciences. One of the key challenges in survival analysis is dealing with incomplete data, a phenomenon known as "censoring." Censoring occurs when the event of interest (such as death, relapse, or system failure) has not occurred for some individuals by the end of the study period or is otherwise unobservable, and it might have many different...
91
Stages of Infection
56.4K
Stages of infection describe what happens to a susceptible host once a pathogen invades the human body. The stages of infection are incubation, prodromal, illness, stage of decline, and convalescence. The incubation stage is the period from exposure to a pathogen until symptoms start. The infected person is unaware of impending illness as the pathogens grow and multiply within the body. The duration may vary depending on the type of infection. The incubation period of measles averages ten to...
56.4K
Principles of Disease Surveillance
95
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
95


