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Cost Savings in Less Invasive Valve Surgery
Mark Anderson, Neil Stockmaster, Anthony Lemaire, George Batsides.
UMDNJ / RWJUH, New Brunswick, NJ, USA.
OBJECTIVE: To review the cost data associated with minimally invasive valve surgery cases (MIVS).
METHODS: All MIVS cases for the 12 month period from 7/1/10 to 6/30/11 were retrospectively reviewed. Patient summaries were evaluated for all inclusive costs (AIC) as well as direct patients costs (DPC) and hospital reimbursement. These were compared to the conventional valve cases which were performed during the same time period.
RESULTS: A total of 228 cases were utilized in the analysis. Included were 118 MIAVR, 48 conv AVR, 40 MIMVR and 20 conv MVR. Reimbursement / case was greatest for conv MVR (\,334) and lowest for MIMVR (\,781). Charges / case were highest for conv MVR (\,290) and lowest for MIAVR (\,551). When comparing AIC to reimbursement there was a savings of \ / case for MIAVR and \ / case for MIMVR. When multiplied for case volume for the period this resulted in an institutional savings of \,690 for MIAVR and \,560 (total \,250).
CONCLUSIONS: MIVS results in a significant cost savings. This is inclusive of the additional technologies (catheters) utilized for these procedures. These savings should be considered when establishing a MIVS program.
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