A recent Philly.com article says, “Three percent of patients hospitalized in Pennsylvania in fiscal 2014 were ‘super-utilizers’ – people admitted five or more times in a year, according to a new report from the Pennsylvania Health Care Cost Containment Council.
“Those 21,308 people accounted for 11 percent of total admissions and 14 percent of hospital days. The report estimated that super-utilizers were responsible for $545 million – 14 percent – of Medicare payments for inpatient stays and $216 million – 17 percent – of Medicaid payments in 2012.
“While the report made no attempt to gauge how many of those hospitalizations could have been prevented with better outpatient care, the assumption is that some could have been, said Joe Martin, executive director of the agency, known as PHC4.” Click here to continue reading this article.
The Pennsylvania Health Care Cost Containment Council (PHC4) research brief, Pennsylvania’s “Super-Utilizers” of in-patient hospital care provides a snapshot summary.
A Wilkes-Barre Citizens’ Voice article states, “Pennsylvanians who are more frequently admitted to the hospital claim a disproportionate amount of public health money, according to a recent study by a state health cost-tracking agency. ”