Aziza Arifkhanova1, Emily McCormick Kraus2, Alia Al-Tayyib3, Julie Taub4, Annette Encinias5, Dean McEwen2, Arthur Davidson6, Judith C Shlay7. 1. Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA; Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA. Electronic address: nzn7@cdc.gov. 2. Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA. 3. Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA. 4. Department of Medicine, Denver Health and Hospital Authority, CO, USA; Division of Hospital Medicine, University of Colorado School of Medicine, USA. 5. Behavioral Health Services Department, Denver Health and Hospital Authority, Denver, CO, USA. 6. Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA; Department of Preventive Medicine and Biometrics, University of Colorado School of Medicine, Aurora, CO, USA; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA. 7. Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Abstract
INTRODUCTION: The national and state economic burden of the opioid crisis is substantial. This study estimated the number of hospitalizations associated with opioid use disorder (OUD) or opioid misuse (OM) and the cost of those hospitalizations at Denver Health (DH) Medical Center, a large, urban safety-net hospital. METHODS: For 2017, direct inpatient medical costs for hospitalizations associated with OUD or OM at DH Medical Center were estimated and categorized by group and insurance type. Data were from the DH electronic health records database that included charge data. Hospitalizations associated with OUD or OM were identified using diagnostic codes and an expanded set of inclusion criteria including diagnostic codes, opioid withdrawal assessments, opioid-related admission notes, and medication prescriptions to treat OUD. Costs were estimated using cost-to-charge ratios specific to DH. RESULTS: During 2017, 220 hospitalizations, $9,834,979 in total charges, $3,690,724 in estimated total costs, and $2,115,990 in total reimbursements were identified using diagnostic codes. Using the most expansive set of inclusion criteria, 739 hospitalizations, $35,033,157 in total charges, $13,346,099 in estimated total costs, and $7,020,877 in total reimbursements were identified. Of the 739 hospitalizations, Medicaid covered 546 hospitalizations (74 %), the largest proportion of total reimbursement (65 %), with estimated total costs of $10,135,048 (77 %). CONCLUSIONS: Our study identified considerable costs for hospitalizations associated with OUD or OM for DH. Estimating costs for hospitalizations associated with OUD or OM through use of expanded inclusion methodology can guide future program planning to allocate resources efficiently for hospitals such as DH Medical Center. Published by Elsevier B.V.
INTRODUCTION: The national and state economic burden of the opioid crisis is substantial. This study estimated the number of hospitalizations associated with opioid use disorder (OUD) or opioid misuse (OM) and the cost of those hospitalizations at Denver Health (DH) Medical Center, a large, urban safety-net hospital. METHODS: For 2017, direct inpatient medical costs for hospitalizations associated with OUD or OM at DH Medical Center were estimated and categorized by group and insurance type. Data were from the DH electronic health records database that included charge data. Hospitalizations associated with OUD or OM were identified using diagnostic codes and an expanded set of inclusion criteria including diagnostic codes, opioid withdrawal assessments, opioid-related admission notes, and medication prescriptions to treat OUD. Costs were estimated using cost-to-charge ratios specific to DH. RESULTS: During 2017, 220 hospitalizations, $9,834,979 in total charges, $3,690,724 in estimated total costs, and $2,115,990 in total reimbursements were identified using diagnostic codes. Using the most expansive set of inclusion criteria, 739 hospitalizations, $35,033,157 in total charges, $13,346,099 in estimated total costs, and $7,020,877 in total reimbursements were identified. Of the 739 hospitalizations, Medicaid covered 546 hospitalizations (74 %), the largest proportion of total reimbursement (65 %), with estimated total costs of $10,135,048 (77 %). CONCLUSIONS: Our study identified considerable costs for hospitalizations associated with OUD or OM for DH. Estimating costs for hospitalizations associated with OUD or OM through use of expanded inclusion methodology can guide future program planning to allocate resources efficiently for hospitals such as DH Medical Center. Published by Elsevier B.V.
Authors: Fulton F Velez; Kathryn P Anastassopoulos; Samuel Colman; Neel Shah; Laura Kauffman; Sean M Murphy; Charles Ruetsch; Yuri A Maricich Journal: Adv Ther Date: 2022-07-07 Impact factor: 4.070