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Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008-2016.


ABSTRACT: The growth in healthcare spending is an important topic in the United States, and preterm and low-birthweight infants have some of the highest healthcare expenditures of any patient population. We performed a retrospective cohort study of spending in this population using a large, national claims database of commercially insured individuals. A total of 763,566 infants with insurance coverage through Aetna, Inc. for the first 6 months of post-natal life were included, and received approximately $8.4 billion (2016 USD) in healthcare services. Infants with billing codes indicating preterm status (<37 weeks, n?=?50,511) incurred medical expenditures of $76,153 on average, while low-birthweight status (<2500?g) was associated with average spending of $114,437. Infants born at 24 weeks gestation (n?=?418) had the highest per infant average expenditures of $603,778. Understanding the drivers of variation in costs within gestational age and birthweight bands is an important target for future studies.

SUBMITTER: Beam AL 

PROVIDER: S-EPMC7314662 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008-2016.

Beam Andrew L AL   Fried Inbar I   Palmer Nathan N   Agniel Denis D   Brat Gabriel G   Fox Kathe K   Kohane Isaac I   Sinaiko Anna A   Zupancic John A F JAF   Armstrong Joanne J  

Journal of perinatology : official journal of the California Perinatal Association 20200226 7


The growth in healthcare spending is an important topic in the United States, and preterm and low-birthweight infants have some of the highest healthcare expenditures of any patient population. We performed a retrospective cohort study of spending in this population using a large, national claims database of commercially insured individuals. A total of 763,566 infants with insurance coverage through Aetna, Inc. for the first 6 months of post-natal life were included, and received approximately $  ...[more]

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