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Volumn 27, Issue 3, 2008, Pages 824-834

Costs of severely ill members and specialty medication use in a commercially insured population

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; CRITICALLY ILL PATIENT; DRUG COST; DRUG USE; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH INSURANCE; HUMAN; MEDICINE; OUTCOME ASSESSMENT;

EID: 44449142605     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.3.824     Document Type: Article
Times cited : (9)

References (18)
  • 1
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  • 2
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    • Examining Costs of Chronic Conditions in a Medicaid Population
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    • Garis, R.I.1    Farmer, K.C.2
  • 3
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    • Persons with Chronic Conditions: Their Prevalence and Costs
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    • Hoffman, C.1    Rice, D.2    Sung, H.Y.3
  • 4
    • 11144344134 scopus 로고    scopus 로고
    • The Relationships among Age, Chronic Conditions, and Healthcare Costs
    • and W. Yu et al., "The Relationships among Age, Chronic Conditions, and Healthcare Costs," American Journal of Managed Care 10, no. 12 (2004): 909-916.
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    • Yu, W.1
  • 7
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    • Rising Health Costs, Medical Debt, and Chronic Conditions
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    • Tu, H.T.1
  • 8
    • 44449124380 scopus 로고    scopus 로고
    • Henry J. Kaiser Family Foundation, Illustrating the Potential Impacts of Adverse Selection on Health Insurance Costs in Consumer Choice Models, November 2006, http://kff.org/insurance/snapshot/chcm111006oth2. cfm (accessed 30 January 2008).
    • Henry J. Kaiser Family Foundation, "Illustrating the Potential Impacts of Adverse Selection on Health Insurance Costs in Consumer Choice Models," November 2006, http://kff.org/insurance/snapshot/chcm111006oth2. cfm (accessed 30 January 2008).
  • 9
    • 77958617382 scopus 로고    scopus 로고
    • 1 March 2007, accessed 13 September 2007
    • Bureau of Labor Statistics, "Measuring Price Change for Medical Care in the CPI," 1 March 2007, http://www.bls.gov/cpi/cpifact4.htm (accessed 13 September 2007).
    • Measuring Price Change for Medical Care in the CPI
  • 10
    • 34548133089 scopus 로고    scopus 로고
    • The medical services costs associated with infusion of medications are typically a small percentage of the acquisition costs for biologics. For example, Wu and colleagues found that the annual drug administration cost for infliximab, a biologic medication infused in the outpatient setting for the treatment of rheumatoid arthritis, was $725 and represented 4 percent of the annual cost of the drug. E. Wu et al, Cost of Care for Patients with Rheumatoid Arthritis Receiving TNF-Antagonist Therapy Using Claims Data, Current Medical Research and Opinion 23, no. 8 2007, 1749-1759
    • The medical services costs associated with infusion of medications are typically a small percentage of the acquisition costs for biologics. For example, Wu and colleagues found that the annual drug administration cost for infliximab, a biologic medication infused in the outpatient setting for the treatment of rheumatoid arthritis, was $725 and represented 4 percent of the annual cost of the drug. E. Wu et al., "Cost of Care for Patients with Rheumatoid Arthritis Receiving TNF-Antagonist Therapy Using Claims Data," Current Medical Research and Opinion 23, no. 8 (2007): 1749-1759.
  • 11
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    • In addition, changes in payment methodologies to physicians for drugs administered in their offices have greatly decreased reimbursement for the drug product. This may affect patient care if physicians decide not to administer drugs in their offices and refer patients to outpatient infusion centers for treatment; research on the influence of these reimbursement changes on the quality of care is needed. D. Stern and D. Reissman, Specialty Pharmacy Cost Management Strategies of Private Health Care Payers, Journal of Managed Care Pharmacy 12, no. 9 2006, 736-744
    • In addition, changes in payment methodologies to physicians for drugs administered in their offices have greatly decreased reimbursement for the drug product. This may affect patient care if physicians decide not to administer drugs in their offices and refer patients to outpatient infusion centers for treatment; research on the influence of these reimbursement changes on the quality of care is needed. D. Stern and D. Reissman, "Specialty Pharmacy Cost Management Strategies of Private Health Care Payers," Journal of Managed Care Pharmacy 12, no. 9 (2006): 736-744.
  • 12
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  • 13
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    • Varying Pharmacy Benefits with Clinical Status: The Case of Cholesterol-Lowering Therapy
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    • (2006) American Journal of Managed Care , vol.12 , Issue.1 , pp. 21-28
    • Goldman, D.P.1    Joyce, G.F.2    Karaca-Mandic, P.3
  • 14
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    • Benefit Design and Specialty Drug Use
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  • 16
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    • Goldman, D.P.1
  • 17
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    • and C.W. Tseng et al., "Cost-Lowering Strategies Used by Medicare Beneficiaries Who Exceed Drug Benefit Caps and Have a Gap in Drug Coverage," Journal of the American Medical Association 292, no. 8 (2004): 952-960.
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    • Tseng, C.W.1
  • 18
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    • Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost
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    • Sokol, M.C.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.