Cost of Cleft Team Care at an Academic Children's Hospital.


Journal

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
ISSN: 1545-1569
Titre abrégé: Cleft Palate Craniofac J
Pays: United States
ID NLM: 9102566

Informations de publication

Date de publication:
11 2022
Historique:
pubmed: 8 10 2021
medline: 12 10 2022
entrez: 7 10 2021
Statut: ppublish

Résumé

The financial burden of cleft-craniofacial team care is substantial, and high costs can hinder successful completion of team care. Collaboration with multiple stakeholders including providers, insurers, and patient guardians, as well as hospital administrators, is critical to increase patient retention and improve final clinical outcomes. At our cleft and craniofacial center, charges for a team care visit fall into one of three categories-hospital fees, professional fees, or external fees. There are four types of hospital fees depending on (1) whether the patient is new or returning, and (2) whether the patient saw ≤4 or ≥5 providers. To further elucidate the financial burden (out-of-pocket costs) directly borne by families of children with cleft lip and/or palate, we conducted a retrospective review of billing records of team care visits made between September 2019 and March 2020. Out-of-pocket costs for a single team care visit (on a commercial insurance plan) ranged from $4 to approximately $1220 and had a median (IQR) of $445 ($118, $749).

Sections du résumé

BACKGROUND
The financial burden of cleft-craniofacial team care is substantial, and high costs can hinder successful completion of team care.
SOLUTION
Collaboration with multiple stakeholders including providers, insurers, and patient guardians, as well as hospital administrators, is critical to increase patient retention and improve final clinical outcomes.
WHAT WE DO THAT IS NEW
At our cleft and craniofacial center, charges for a team care visit fall into one of three categories-hospital fees, professional fees, or external fees. There are four types of hospital fees depending on (1) whether the patient is new or returning, and (2) whether the patient saw ≤4 or ≥5 providers. To further elucidate the financial burden (out-of-pocket costs) directly borne by families of children with cleft lip and/or palate, we conducted a retrospective review of billing records of team care visits made between September 2019 and March 2020. Out-of-pocket costs for a single team care visit (on a commercial insurance plan) ranged from $4 to approximately $1220 and had a median (IQR) of $445 ($118, $749).

Identifiants

pubmed: 34617484
doi: 10.1177/10556656211046815
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1428-1432

Auteurs

Jennifer Lee (J)

12275Washington University School of Medicine in St. Louis, St. Louis, Missouri.

Gary B Skolnick (GB)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

Sybill D Naidoo (SD)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

Sibyl Scheve (S)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

Cheryl Grellner (C)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

Alison Snyder-Warwick (A)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

Kamlesh B Patel (KB)

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, Missouri.

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