Year: 2024
Type: article
Abstract: OverviewThis 2020 report represents Milliman's triennial summary of estimated U.S. average utilization, billed charges, and resulting per member per month (PMPM) costs for organ and tissue transplants.The report covers estimates for the period ranging from 30 days prior to 180 days after admission for organ and tissue transplants treatment. Highlights of this report include information from the following sections:Section II • We estimate the 2020 PMPM costs based on billed charges to be $11.22 and $16.48 for the under- 65 and 65-and-over populations by age, respectively.These PMPM costs reflect average annual increases of 11.0% and 10.5%, respectively, from our 2017 report.• There is a wide range of annual changes in utilization and billed charges by type of transplant, relative to our 2017 report.Multiple organ transplants tend to demonstrate greater year-to-year utilization volatility due to their smaller numbers.Average annual changes to billed charges vary less than utilization for the under-65 population, relative to our 2017 report.• Hospital lengths of stay have been fairly stable for most transplants since our 2017 report, with small increases shown for most transplants. Section IV• Average waiting times increased for a number of transplants since our 2017 report, with heart and intestine transplant waiting times increasing by 22 and 43 days, respectively.Average waiting times for liver, pancreas after kidney, and kidney-pancreas decreased since our 2017 report, by amounts ranging from three days (liver) to 24 (kidney-pancreas).
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: Virginia Commonwealth University
OpenAlex ID: W4401540404