Unit of analysis The unit of analysis is the hospital discharge i. This means that a person who is admitted to the hospital multiple times in 1 year will be counted each time as a separate discharge from the hospital.
For each hospital, a hospital-wide cost-to-charge ratio is used. Hospital charges reflect the amount the hospital billed for the entire hospital stay and do not include professional physician fees.
For the purposes of this Statistical Brief, costs are reported to the nearest hundred. The outpatient portion of hospitals' activities has been growing steadily and may exceed half of all hospital revenue in recent years.
On the basis of the American Hospital Association Annual Survey, outpatient gross revenues or charges were about 49 percent of total hospital gross revenues. These include Federal hospitals Department of Defense, Veterans Administration, Indian Health Services, and Department of Justice [prison] hospitals as well as psychiatric, substance abuse, and long-term care hospitals. A third source of difference lies in the HCUP reliance on billed charges from hospitals to payers, adjusted to provide estimates of costs using hospital-wide cost-to-charge ratios, in contrast to the NHEA measurement of spending or revenue.
HCUP costs estimate the amount of money required to produce hospital services, including expenses for wages, salaries, and benefits paid to staff as well as utilities, maintenance, and other similar expenses required to run a hospital.
NHEA spending or revenue measures the amount of income received by the hospital for treatment and other services provided, including payments by insurers, patients, or government programs. The difference between revenues and costs includes profit for for-profit hospitals or surpluses for nonprofit hospitals. Expected payer To make coding uniform across all HCUP data sources, the primary expected payer for the hospital stay combines detailed categories into general groups: Medicare: includes fee-for-service and managed care Medicare Medicaid: includes fee-for-service and managed care Medicaid Private insurance: includes commercial nongovermental payers, regardless of the type of plan e.
HCUP databases bring together the data collection efforts of State data organizations, hospital associations, and private data organizations HCUP Partners and the Federal government to create a national information resource of encounter-level healthcare data.
HCUP includes the largest collection of longitudinal hospital care data in the United States, with all-payer, encounter-level information beginning in These databases enable research on a broad range of health policy issues, including cost and quality of health services, medical practice patterns, access to healthcare programs, and outcomes of treatments at the national, State, and local market levels.
The NIS is nationally representative of all community hospitals i. The NIS includes all payers. It is drawn from a sampling frame that contains hospitals comprising more than 95 percent of all discharges in the United States.
The vast size of the NIS allows the study of topics at the national and regional levels for specific subgroups of patients. In addition, NIS data are standardized across years to facilitate ease of use. The NIS is intended for national estimates only; no State-level estimates can be produced. The unweighted sample size for the NIS is 7,, weighted, this represents 35,, inpatient stays. Updated December Accessed February 3, Month We also invite you to tell us how you are using this Statistical Brief and other HCUP data and tools, and to share suggestions on how HCUP products might be enhanced to further meet your needs.
Please e-mail us at hcup ahrq. Cohen, Ph. NHE Fact Sheet. What can be learned from her story? Accountable Care. Acute Care. Kaiser, Mayo, Medically Home promote advanced hospital-at-home services. Ambulatory Care. Business Intelligence. Anthem to acquire Integra Managed Care. Practices keeping close watch on risk adjustment coding. Meaningful Use. CMS overhauls meaningful use as 'Promoting Interoperability'. Patient Engagement. Amazon to launch Alexa at senior living facilities, health systems.
People who spread vaccine misinformation are 'criminals' says Pfizer CEO. Download the full infographic summary. Disclaimer: The info represented in these infographics does not necessarily reflect the views of PeopleKeep, its staff, or its affiliate partners. But, this price tag varies significantly by type of insurance coverage and if you have insurance coverage at all. In addition, most insurance companies will often negotiate your cost, helping you get a discounted price compared to what you were originally charged.
Take a look at a few common factors that can play a part in how much you pay out of pocket:. See which medical expenses you can get reimbursed through your employer with an HRA. Average age at admission was Consumers may be surprised to learn that Septicemia was the 2nd most common reason for hospitalization in , after births. In , CDC estimated that one in three patients who die in a hospital have sepsis. Pressure sores were often associated with paralysis, spinal cord injury, dementia, diabetes.
Over 4. Most pressure ulcer cases however had some Other main reason for being admitted — such as septicemia, pneumonia, or urinary tract infections; Average length of stay was Statistical Brief 64 published December Caution: publication is quite old, and has not been updated by AHRQ. Charges were higher, but not revealed.
Topics include Covid hospitalizations at least nine reports ; cancer-related hospitalizations; operating room procedures; opioid-related hospital stays and Emergency Department visits; other ER visits; preventable inpatient stays for chronic health conditions; Medicare Advantage stays; suicide, mental health and substance use hospital stays; readmissions, and more.
Average charges or estimated true cost most use data; the Covid reports use data and average length of stay are sometimes shown in the tables; death rate sometimes shown. Additional reports continue to be added; more than older briefs are also indexed.
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