Characteristics and healthcare utilisation patterns of high-cost beneficiaries in the Netherlands: a cross-sectional claims database study.

ABSTRACT:

Objective

To determine medical needs, demographic characteristics and healthcare utilisation patterns of the top 1% and top 2%-5% high-cost beneficiaries in the Netherlands.

Design

Cross-sectional study using 1 year claims data. We broke down high-cost beneficiaries by demographics, the most cost-incurring condition per beneficiary and expensive treatment use.

Setting

Dutch curative health system, a health system with universal coverage.

Participants

4.5 million beneficiaries of one health insurer.

Measures

Annual total costs through hospital, intensive care unit use, expensive drugs, other pharmaceuticals, mental care and others; demographics; most cost-incurring and secondary conditions; inpatient stay; number of morbidities; costs per ICD10-chapter (I

SUBMITTER: Wammes JJG 

PROVIDER: S-EPMC5695517 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature