医疗保险人群中主要住院心血管手术的收入、成本和贡献利润率。

IF 3.7 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American heart journal Pub Date : 2024-12-03 DOI:10.1016/j.ahj.2024.11.013

Kriyana P. Reddy BS , Kaitlyn Shutlz MS , Lauren A. Eberly MD, MPH , Sameed Ahmed M. Khatana MD, MPH , Alexander C. Fanaroff MD, MHS , Guy David PhD , David J. Cohen MD, MS , Peter W. Groeneveld MD, MS , Jay Giri MD, MPH , Ashwin S. Nathan MD, MS

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引用次数: 0

摘要

我们试图衡量2016-2019年医疗保险人群中主要住院心血管手术的收入、成本和贡献利润率（CMs），评估不同手术中CMs的差异，并确定CMs的时间趋势。使用成本收费比率计算索赔水平成本，随后进行winsorization以调整异常值，并评估CMs为收入和成本之间的差异。我们发现，主要住院心血管手术的收入、成本和CMs差异很大，快速增长的心血管手术为美国医院贡献了相当大的净CMs。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revenues, costs, and contribution margins of major inpatient cardiovascular procedures within the Medicare population

Introduction

We sought to measure the revenues, costs, and contribution margins (CMs) for major inpatient cardiovascular procedures in the Medicare population in years 2016-2019, evaluate the differences in CMs across procedures, and identify temporal trends in CMs.

Methods

Claim-level costs were calculated using cost-to-charge ratios and subsequently Winsorized to adjust for outliers, and CMs were assessed as the difference between revenue and costs.

Results and Discussion

We found that revenues, costs, and CMs vary widely across major inpatient cardiovascular procedures and that rapidly proliferating cardiovascular procedures contribute sizeable net CMs to US hospitals.

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来源期刊

American heart journal 医学-心血管系统

CiteScore

8.20

自引率

2.10%

发文量

214

审稿时长

38 days

期刊介绍： The American Heart Journal will consider for publication suitable articles on topics pertaining to the broad discipline of cardiovascular disease. Our goal is to provide the reader primary investigation, scholarly review, and opinion concerning the practice of cardiovascular medicine. We especially encourage submission of 3 types of reports that are not frequently seen in cardiovascular journals: negative clinical studies, reports on study designs, and studies involving the organization of medical care. The Journal does not accept individual case reports or original articles involving bench laboratory or animal research.