{"id":3903,"date":"2021-11-10T00:48:26","date_gmt":"2021-11-10T00:48:26","guid":{"rendered":"https:\/\/unicommercesolutions.com\/sqinnovation\/?page_id=3903"},"modified":"2023-03-21T01:48:49","modified_gmt":"2023-03-21T05:48:49","slug":"economics","status":"publish","type":"page","link":"https:\/\/ksymcreative.com\/sqinnovation\/economics\/","title":{"rendered":"Economics"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.18.0″ _module_preset=”default” use_background_color_gradient=”on” background_color_gradient_stops=”rgba(67,82,85,0.1) 0%|rgba(67,82,85,0.3) 100%” background_color_gradient_overlays_image=”on” background_image=”https:\/\/ksymcreative.com\/sqinnovation\/wp-content\/uploads\/2022\/09\/main-header-2-1900×450-1.jpg” position_origin_f=”top_center” max_width=”1920px” module_alignment=”center” min_height=”450px” max_height=”450px” custom_margin=”||||false|false” custom_padding=”||||false|false” bottom_divider_color=”#FFFFFF” bottom_divider_repeat=”1x” bottom_divider_flip=”vertical|horizontal” bottom_divider_style_tablet=”” bottom_divider_style_phone=”none” bottom_divider_style_last_edited=”on|tablet” bottom_divider_height_tablet=”75px” bottom_divider_height_phone=”” bottom_divider_height_last_edited=”on|tablet” global_colors_info=”{}”][et_pb_row custom_padding_last_edited=”on|phone” _builder_version=”4.18.0″ _module_preset=”default” custom_margin=”||||false|false” custom_padding=”200px||||false|false” custom_padding_tablet=”250px||||false|false” custom_padding_phone=”250px||||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” text_font=”||||||||” text_font_size=”55px” header_font=”||||||||” text_orientation=”center” background_layout=”dark” text_text_shadow_style=”preset1″ header_text_shadow_style=”preset3″ header_text_shadow_color=”rgba(0,0,0,0.6)” global_colors_info=”{}”]<\/p>\n

The Economics of Heart Failure<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.18.0″ custom_padding=”36px|||||” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” min_height=”172.2px” custom_margin=”|auto|33px|auto||” custom_padding=”||8px|||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

The Cost of Heart Failure in the U.S.<\/h2>\n

<\/h3>\n

Direct Heart Failure Costs $20 Billion<\/h3>\n

The American Heart Association estimated in 2012 that the total cost of HF to be $30.7 billion (2010 dollars).<\/p>\n

About $20 billion, or two-thirds, of this cost is attributable to direct medical costs, such as hospital stays, office visits, and medication.<\/p>\n

Projections suggest that by 2030 the total cost of HF will increase by 127%, to $69.8 billion, amounting to \u2248$244 for every US adult<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/ksymcreative.com\/sqinnovation\/wp-content\/uploads\/2022\/09\/Screen-Shot-2022-09-01-at-3.08.52-PM.png” alt=”The Cost of Heart Failure in U.S. Chart” title_text=”The Cost of Heart Failure in U.S. Chart” _builder_version=”4.18.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” min_height=”172.2px” custom_margin=”|auto|33px|auto||” custom_padding=”||8px|||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/ksymcreative.com\/sqinnovation\/wp-content\/uploads\/2022\/09\/SQI-image-5-980×635-1.jpg” alt=”Woman in Hospital Looking out Window” title_text=”Woman in Hospital Looking out Window” _builder_version=”4.18.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” custom_padding=”||1px|||” global_colors_info=”{}”]<\/p>\n

Worsening Heart Failure Costs $14 Billion<\/h3>\n

The cost of worsening heart failure makes up a large proportion of the direct medical cost.<\/p>\n

Because heart failure is almost exclusively a condition of the elderly, the burden for the direct costs is for those who provide medical benefits for the elderly, such as Medicare in the U.S.<\/p>\n

In March 2017, Milliman published a report on the cost of worsening heart failure. This report puts the 2015 cost for worsening heart failure at $14.4 billion.<\/p>\n

The $14.4 billion in medical cost incurred by Medicare is the number that Lasix\u00ae SQF may impact.<\/strong><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.18.0″ _module_preset=”default” background_color=”rgba(106,164,179,0.18)” positioning=”none” custom_margin_tablet=”” custom_margin_phone=”||||false|false” custom_margin_last_edited=”on|phone” custom_padding_tablet=”” custom_padding_phone=”||35px||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width=”82%” custom_margin=”|auto|33px|auto||” custom_padding=”||8px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” custom_padding=”|25px||25px|false|false” custom_padding_tablet=”|25px||25px|false|false” custom_padding_phone=”|0px||0px|false|false” custom_padding_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n

A Background on Payments in the U.S.<\/h2>\n


<\/strong>Medicare Payments for Worsening Heart Failure<\/h3>\n

Relevant for Lasix SQF is how hospitals get paid for treating patients with worsening heart failure.<\/p>\n

In 1983 in the U.S., Medicare adopted a new payment system known as the Inpatient Prospective Payment System (IPPS)<\/strong>.<\/p>\n

Under the IPPS, predefined payment amounts are made to a hospital for the care of a patient based on the primary diagnosis combined with certain characteristics of the patient, such as secondary diagnosis(es), comorbidities and complications, the patient\u2019s age and sex, and if certain procedures were performed. This is called a Diagnostic-Related Group (DRG). The payments are required regardless of the actual length of stay.<\/strong><\/p>\n

So, in general, a DRG payment covers all charges associated with an inpatient stay from the time of admission to discharge, regardless of the length of the actual stay.<\/p>\n

This removed the incentives for hospitals to keep the patients longer.<\/strong><\/p>\n

 <\/p>\n

Readmission Rate Causation & Costs<\/h3>\n

In the U.S., since the incentives for hospitals to keep the patients longer due to DRGs were removed, the IPPS resulted in a marked reduction in length of stay<\/strong>.<\/p>\n

Currently, the average length of an in-patient hospital stay for worsening heart failure is 3-5 days.<\/p>\n

Resolving edema through diuresis takes time, but many patients now leave the hospitals with considerable residual fluid overload<\/strong>.<\/p>\n

This residual fluid overload is blamed for the high readmission rates<\/strong> that have plagued the U.S. and other countries with short average duration of stays. Readmissions occur in about one in every four patients.<\/p>\n

A typical patient incurs over $9,000 in charges in the 30 days after discharge. About half of this is for readmissions.<\/p>\n

 <\/p>\n

Reducing Total Costs with Lasix SQF<\/h3>\n

When patients are discharged early and sent home with Lasix SQF, this does not change the payment amount to the hospital.\u00a0 The payor pays the hospital the same amount as an in-patient stay, but also<\/span><\/strong> incurs the cost of Lasix SQF.<\/p>\n

The patient would also incur a co-insurance or co-pay for Lasix SQF they otherwise would not have had.<\/p>\n

Adding to the complexity, if the patient is admitted for less than \u201ctwo-midnight stays\u201d the episode is considered a short-stay or observation stay. In this case, the hospital does not get to bill under a DRG but can charge a line-item bill. This is comparable to emergency room billing. Patients often have considerable co-insurance payments for these short stays.<\/p>\n

Although it is more costly in the short run, discharging a patient from an emergency room visit or observation stay with Lasix SQF may offer a lower cost alternative than a conventional admission.<\/strong> For Medicare, there is a very big difference if the discharge occurs before the second midnight or after.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ make_equal=”on” _builder_version=”4.18.0″ _module_preset=”default” width=”60%” width_tablet=”50%” width_phone=”80%” width_last_edited=”on|phone” border_color_all=”#558B80″ global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.18.0″ _module_preset=”default” custom_padding=”30px|10px|30px|10px|false|false” border_width_all=”1px” border_color_all=”#558B80″ global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” module_alignment=”center” custom_margin=”10px||15px||false|false” custom_padding=”|25px||25px|false|false” global_colors_info=”{}”]<\/p>\n\n\n\n\n\n\n\n
\n

In-Patient Hospital Furosemide IV Treatment<\/strong><\/h3>\n<\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n
Medicare Payment<\/td>\n<\/tr>\n
+<\/strong><\/td>\n<\/tr>\n
\n

Average of $9,000<\/strong> in charges<\/strong>
in the first 30 days after discharge. 50% of these costs are for hospital readmission.<\/p>\n

(1 in 4 patients are readmitted)<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.18.0″ _module_preset=”default” custom_padding=”30px|15px|30px|15px|false|false” border_width_all=”1px” border_color_all=”#558B80″ global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” module_alignment=”center” custom_margin=”10px||15px||false|false” custom_padding=”|0px||0px|false|false” global_colors_info=”{}”]<\/p>\n\n\n\n\n\n\n\n
\n

Lasix\u00ae SQF<\/strong><\/h3>\n<\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n
Same Medicare Payment<\/td>\n<\/tr>\n
+<\/strong><\/td>\n<\/tr>\n
Lasix SQF cost<\/strong><\/em>
(+\/- $600)<\/strong><\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.18.0″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/ksymcreative.com\/sqinnovation\/wp-content\/uploads\/2022\/09\/Screen-Shot-2022-09-01-at-11.13.21-AM.png” custom_padding=”100px||||false|false” custom_padding_tablet=”100px||||false|false” custom_padding_phone=”50px||20px||false|false” background_last_edited=”on|desktop” background_enable_image_tablet=”off” background_enable_image_phone=”off” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” _builder_version=”4.18.0″ _module_preset=”default” module_alignment=”center” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.18.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” global_colors_info=”{}” custom_padding__hover_enabled=”off|desktop”]<\/p>\n

European Model<\/h2>\n

The situation is different in certain European countries<\/strong> where the length of stay is 10+ days versus the 3-5 days in the U.S. Readmission rates are generally very low in these countries. Payor systems in these countries, like the NHS in the U.K., are trying to reduce the total hospital beds in a community. This requires reducing overall inpatient days and reducing the length of heart failure inpatient days can contribute to those goals.<\/p>\n

Lasix SQF may offer a way to reduce the length of stay without the quality trade<\/strong> that happens in the U.S. where readmission is common at a high cost.<\/p>\n

[\/et_pb_text][et_pb_counters bar_bg_color=”#000000″ _builder_version=”4.18.0″ _module_preset=”default” title_text_color=”#558B80″ title_font_size=”13px” title_line_height=”1.9em” text_orientation=”left” width=”80%” module_alignment=”left” custom_margin=”40px||||false|false” global_colors_info=”{}”][et_pb_counter percent=”40″ bar_background_color=”#558B80″ _builder_version=”4.18.0″ _module_preset=”default” title_font=”|700||on|||||” title_text_align=”left” title_font_size=”13px” title_line_height=”2.2em” percent_font=”|700|||||||” percent_text_color=”rgba(255,255,255,0)” percent_font_size=”13px” percent_line_height=”1.8em” text_orientation=”left” module_alignment=”left” custom_margin=”25px||||false|false” global_colors_info=”{}” bar_background_color_default=”#000000″ use_percentages=”on”]3 – 5 days | Average Length of Hospital Stay in U.S[\/et_pb_counter][et_pb_counter percent=”100″ bar_background_color=”#558B80″ _builder_version=”4.18.0″ _module_preset=”default” title_font=”|700||on|||||” title_font_size=”13px” title_line_height=”2.2em” percent_font=”|300|||||||” percent_text_color=”rgba(255,255,255,0.06)” percent_font_size=”13px” percent_line_height=”1.8em” text_orientation=”left” width=”100%” module_alignment=”left” custom_margin=”25px||||false|false” percent_text_shadow_style=”preset3″ global_colors_info=”{}” width__hover_enabled=”on|desktop” width__hover=”100%” bar_background_color_default=”#000000″ use_percentages=”on”]10+ Days | Average Length of Hospital Stay in Europe[\/et_pb_counter][\/et_pb_counters][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<\/span>","protected":false},"excerpt":{"rendered":"

Explore the economic benefits of the Lasix\u00ae SQF treatment option with SQ Innovation. Our innovative solution can help reduce healthcare costs associated with hospital stays and provide effective diuretic treatment at home. Learn more about the economic advantages of our approach on our webpage.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3903","page","type-page","status-publish","hentry"],"yoast_head":"\nThe Economics of Heart Failure | SQ Innovation, Inc.<\/title>\n<meta name=\"description\" content=\"Explore economic benefits of Lasix\u00ae SQF treatment with SQ Innovation. 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