ASH Clinical News June 2015 | Page 19

CLINICAL NEWS Sticker Shock In the past decade, there has been little surprise as to which medical conditions rank as the most expensive in terms of yearly medical expenditures, with the same five medical conditions occupying the top five spots. The amount of money spent on these conditions, however, has risen substantially from 2002 to 2012. According to data from the Agency for Healthcare Research and Quality, after adjusting for inflation, spending increased to the tune of: $83.5 to $101 All in the Family When family doctors provide more care – versus referring patients to specialists – they save their patients and the health-care system money. “Payment and practice policies that enhance primary-care comprehensiveness may help bend the cost curve,” according to researchers from the Academy of Family Physicians. Among 3,652 primary-care physicians and 555,165 Medicare beneficiaries, the study authors found that, when a physician was rated as “very comprehensive:” for heart conditions Medicare Part A and B costs were reduced by 25% patients were 65% less likely to be hospitalized $59.8 to $87.5 $ for cancer $68.9 to $93.1 $ Medicare Part B costs were 14% lower for trauma-related disorders Source: Bazemore A, Petterson S, Peterson LE, Phillips RL. More comprehensive care among family physicians is associated with lower costs and fewer hospitalizations. Ann Fam Med. 2015;13:206-13. $58.6 to $83.6 for mental disorders $55.9 to $75.9 for chronic obstructive pulmonary disease and asthma 0 $ 20 $ 40 $ Let’s Get Physical! 60 $ 80 $ $ 100 $ 120 BILLION The number of people with each of these conditions, and – unsurprisingly – the mean expenditure per person also increased over the past decade. Source: Agency for Healthcare Research and Quality. Statistical Brief #470: Trends in the Five Most Costly Conditions among the U.S. Civilian Non-Institutionalized Population, 2002 and 2012. April 2015. Over Budget But Still Underinsured Nearly 1 in 4 U.S. adults is underinsured – meani