Richards J W, Taylor W J
Innovative Health Strategies, Augusta, GA., USA.
Physician Exec. 1994 Nov;20(11):38-41.
A program was instituted to determine if retrospective, concurrent, and prospective analysis of home infusion therapy cases by a multidisciplinary team comprising clinicians and financial analysts would lead to cost reductions and cost-effective behavioral changes by providers. Actual invoices and prospective price quotes for infusion therapy were reviewed and compared to a database of "usual and customary" prices. The results were presented to providers with the intent of obtaining a reduction in prices for the services rendered or about to be rendered. As a result, $3,265,248 in short-term cost reductions were achieved, and $15,146,789 in long-term cost reductions are projected. Analysis resulted in average cost reductions of $2,247 and $10,424 respectively. Very significant cost reductions can be achieved through the use of a multidisciplinary team and a comprehensive pricing database for home infusion therapy.
启动了一个项目,以确定由临床医生和财务分析师组成的多学科团队对家庭输液治疗病例进行回顾性、同期性和前瞻性分析,是否会导致成本降低以及提供者产生具有成本效益的行为变化。审查了输液治疗的实际发票和前瞻性报价,并与“通常和惯例”价格数据库进行了比较。结果呈现给提供者,目的是降低已提供或即将提供服务的价格。结果,实现了3265248美元的短期成本降低,预计长期成本降低15146789美元。分析分别导致平均成本降低2247美元和10424美元。通过使用多学科团队和家庭输液治疗综合定价数据库,可以实现非常显著的成本降低。