20
HOSPI TALS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
• Although annual professional office/clinic
charges rose for atrial fibrillation patients in
three of four regions (West excepted), such
charges fell fractionally across the nation
between 2010 ($2,192) and 2011 ($2,151).
• Of the four regions profiled, professional office/
clinic charges per year were highest in the
Northeast in 2011, at $2,341. Such charges
increased 4.2% from the 2010 mark of $2,247,
the largest percentage growth by region.
Key Takeaway
More than half of atrial fibrillation patients across the U.S. had at least three diagnosed comorbidities
in 2011 (data not shown). Patients with multiple chronic conditions—especially those over the age
of 65—provide significant challenges in terms of both treatment and cost. Complex chronic disease
patients tend to receive care from various physicians and sustain multiple medication regimens,
making it far more difficult to effectively monitor and adjust their treatment.
• In all three years shown, annual professional
office/clinic charges for the treatment of atrial
fibrillation patients rose in accordance with the
number of comorbidities, with a sizeable jump
among those with more than two comorbidities.
• In 2011, for example, atrial fibrillation patients
with more than two diagnosed comorbidities
generated $2,740 in professional office/clinic
charges, more than double such charges for
those who had zero comorbidities ($1,276).
More Comorbidities Equates to Higher Office/Clinic Charges for AFib Patients
Data source: IMS Health © 2013
F INANCIALS
PROFESSIONAL CHARGES PER YEAR FOR ATRIAL FIBRILLATION PATIENTS, BY REGION
1
Ambulatory
Surgery Center
Emergency
Room
Hospital
Inpatient
Hospital
Outpatient
Office/Clinic
region
2010
2011
2010
2011
2010
2011
2010
2011
2010
2011
West
$2,113 $2,248 $923
$910 $2,743 $2,418 $1,032
$982 $2,409 $2,083
Midwest
2,219 2,412
699
824
2,481 2,550
981 1,013 1,720 1,740
South
2,296 2,517
845
927
2,720 2,805 1,009 1,048 2,292 2,302
Northeast
2,078 2,189
692
730
2,865 2,970 1,008 1,080 2,247 2,341
NATION
$2,205 $2,387 $804 $864 $2,700 $2,719 $1,006 $1,034 $2,192 $2,151
PROFESSIONAL OFFICE/CLINIC CHARGES PER YEAR FOR ATRIAL FIBRILLATION PATIENTS,
BY NUMBER OF COMORBIDITIES, NATION
2
1
Professional charges are those generated by the providers delivering care to atrial fibrillation patients in various settings.
2
A comorbidity is a condition an atrial fibrillation patient may also have, that is not directly related to the atrial fibrillation. Comorbidities were
narrowed down to a subset of conditions that are typically present in patients with atrial fibrillation. Comorbidities of atrial fibrillation include, but
are not limited to, angina, cardiac dysrhythmias, diabetes, hypertension and ischemic heart disease.
Professional Office/Clinic Charges for AFib Patients Drop
CHRONIC DISEASE
$0
$750
$1,500
$2,250
$3,000
Average Charges
0
1
2
2+
$1,165 $1,255 $1,276
$1,290
$1,387 $1,366
$1,458 $1,544 $1,543
$2,491
$2,740 $2,740
2009
2010
2011
I...,10,11,12,13,14,15,16,17,18,19 21,22,23,24,25,26,27,28,29,30,...IV