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Ex. Patient is admitted to the hospital, is given a diagnosis of hip fracture by medical team.
The hospital will receive X dollars of payment for patients care.
What is a Fracture of Hip and Pelvis?
DRG 536 without medical complications
Medical services:
Post hospital care
(Haentjens 1133)
(standard deviation SD $4,945)
(Schoushoe 940)
(+- $4,808 SD) (Miura, L. 164)
Will pay 80% of hospital costs once reach annual deductible of $4,000/year
Work Cited
Estimated Remaining Hospital bill: $2259.80 after meeting yearly deductible
Additional costs to consider:
Majority of this population aged 65 and older
Hip fracture can lead to signficant increase of morbidity and mortality in elderly (Miura 159)
Increase expense of post hosptial care
Increase need for therapy service
Medical services
Possible Long-term care services
It's a risky population to insurance...
Schoushoe, John T., et al. "Estimation of Standardized Hospital Costs from Medicare Claims That Reflect Resource Requirements for Care: Impact for Cohort Studies Linked to Medicare Claims." Health Services Research 49.3 (2014): 929-949. Academic Search Premier. Web 13 June 2015.
Shi, Leiyu, and Douglas A. Singh. Delivering Health Care in America A Systems Approach. Fifth ed. Burlington: Jones & Bartlett Learning, LLC, 2012. ***.
Miura, Lisa N., Albert R. DiPiero, and Louis D. Homer. "Effects Of A Geriatrician-Led Hip Fracture Program: Improvements In Clinical And Economic Outcomes." Journal Of The American Geriatrics Society 57.1 (2009): 159-167. SocINDEX with Full Text. Web. 15 June 2015.
Lee***
Haentjens, P., G. Lamraski, and S. Boonen. "Costs And Consequences Of Hip Fracture Occurrence In Old Age: An Economic Perspective." Disability & Rehabilitation 27.18/19 (2005): 1129-1141. Academic Search Premier. Web. 15 June 2015.