Evidence for marked underutilization of insurance billing in malignant pleural mesothelioma in Finland

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Torkki , P , Paajanen , J , Kytö , V , Laaksonen , S , Räsänen , J , Myllärniemi , M & Ilonen , I 2021 , ' Evidence for marked underutilization of insurance billing in malignant pleural mesothelioma in Finland ' , Thoracic cancer , vol. 12 , no. 19 , pp. 2594-2600 . https://doi.org/10.1111/1759-7714.14146

Title: Evidence for marked underutilization of insurance billing in malignant pleural mesothelioma in Finland
Author: Torkki, Paulus; Paajanen, Juuso; Kytö, Ville; Laaksonen, Sanna; Räsänen, Jari; Myllärniemi, Marjukka; Ilonen, Ilkka
Contributor organization: Department of Public Health
HUS Heart and Lung Center
Faculty of Medicine
Clinicum
INDIVIDRUG - Individualized Drug Therapy
HUSLAB
Department of Pathology
III kirurgian klinikka
Department of Medicine
Department of Surgery
Date: 2021-10
Language: eng
Number of pages: 7
Belongs to series: Thoracic cancer
ISSN: 1759-7706
DOI: https://doi.org/10.1111/1759-7714.14146
URI: http://hdl.handle.net/10138/340104
Abstract: Abstract Background Substantial variation in health care costs for malignant pleural mesothelioma (MPM) has previously been identified. Materials and Methods We analyzed the changes in health care costs in MPM in Finland during 2002?2012. Finland has low-threshold public health care and a mandatory Workers' Compensation scheme that covers all occupational-related disease expenses. The costs include treatment costs for inpatients, hospice care, medication costs, rehabilitation costs, and travel costs. All costs are expressed in 2012 prices, adjusted using the consumer price index. Results A total of 907 MPM patients were included in the study. Mean duration of inpatient episodes increased 7% per year from 2002 to 2012, correlating with total costs (R2 = 0.861, p?Background Substantial variation in health care costs for malignant pleural mesothelioma (MPM) has previously been identified. Materials and Methods We analyzed the changes in health care costs in MPM in Finland during 2002-2012. Finland has low-threshold public health care and a mandatory Workers' Compensation scheme that covers all occupational-related disease expenses. The costs include treatment costs for inpatients, hospice care, medication costs, rehabilitation costs, and travel costs. All costs are expressed in 2012 prices, adjusted using the consumer price index. Results A total of 907 MPM patients were included in the study. Mean duration of inpatient episodes increased 7% per year from 2002 to 2012, correlating with total costs (R-2 = 0.861, p < 0.05). The annual total costs for treatment increased from 1.7 to 4.3 meuro during the study period and the cost per patient from 27 000 to 43 000 euro. The overall costs increased progressively by the number of procedures performed. In patients who had been compensated for occupational cause by Workers' Compensation Center, only 36% of the overall care costs were billed from the insurance company. Billing of inpatient costs was 86% in these patients. Conclusion During the study period, we found that the costs of MPM increased more than the average health care costs. This may be because of advanced diagnostic workup or more costly treatment (e.g., pemetrexed). Moreover, only one-third of all health care costs are charged to Workers' Compensation Insurance.
Description: https://doi.org/10.1111/1759-7714.14146
Subject: asbestos
health care costs
malignant pleural mesothelioma
occupational disease
asbestos
health care costs
malignant pleural mesothelioma
occupational disease
LUNG-CANCER
ECONOMIC BURDEN
ASBESTOS
SURVIVAL
MANAGEMENT
DIAGNOSIS
FEATURES
EXPOSURE
3122 Cancers
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: publishedVersion


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