5.3. Risk-adjusted average cost per day

from SPECIAL REPORT | Alternative Reimbursement Models

Figure 9: COVID-19 admissions by age and gender after trimming data

The model for average cost per day (per diem rate) had a very good fit, explaining approximately 74% of the variation. The important risk factors were age – though not across all 19 age bands, level of care, the hospital group and the pre-existing conditions listed in the table below. Gender does not have a significant impact on the daily benefits paid.

Significant pre-existing conditions: average daily cost  HIV  Asthma  Bronchiectasis  Diabetes mellitus type 1  Diabetes mellitus type 2  Cardiac failure  Hyperlipidemia  Hypertension  Hypothyroidism  Chronic obstructive pulmonary disorder  Coronary artery disease  Rheumatoid arthritis  Cancer  Obesity

Board of Healthcare Funders Industry Technical Advisory Committee

5.3. Risk-adjusted average cost per day

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Figure 9: COVID-19 admissions by age and gender after trimming data

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Figure 9: COVID-19 admissions by age and gender after trimming data

Table 1: ITAC team members

1. Introduction

9.3. ANNEXURE 3: Model Construction

9.2. ANNEXURE 2: Data Specification

Figure 17: Model result: Total benefit paid by hospital group and age

8. References

5.2. Risk-adjusted total benefits paid

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SPECIAL REPORT | Alternative Reimbursement Models