Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System

Kevin P. Fiori; Samantha R. Levano; Silvie Colman; Jason Oliveira; Jessica Haughton; Miya Lemberg; Earle C. Chambers; Andrew Telzak; Elizabeth Spurrell-Huss; Adam Sirois; Allison Stark; Andrew Racine

doi:10.1097/JAC.0000000000000515

Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System

Kevin P. Fiori
, Samantha R. Levano
, Silvie Colman
, Jason Oliveira
, Jessica Haughton
, Miya Lemberg
, Earle C. Chambers
, Andrew Telzak
, Elizabeth Spurrell-Huss
, Adam Sirois
, Allison Stark
, Andrew Racine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.

Original language	English (US)
Pages (from-to)	39-51
Number of pages	13
Journal	Journal of Ambulatory Care Management
Volume	48
Issue number	1
DOIs	https://doi.org/10.1097/JAC.0000000000000515
State	Published - Jan 1 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

ASJC Scopus subject areas

Health Policy

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10.1097/JAC.0000000000000515

Cite this

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title = "Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System",

abstract = "Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded \$1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost \$1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost \$1856 (P < .0001) more per year.",

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language = "English (US)",

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T2 - Examining Social Needs and Costs in a Large Health System

AU - Fiori, Kevin P.

AU - Levano, Samantha R.

AU - Colman, Silvie

AU - Oliveira, Jason

AU - Haughton, Jessica

AU - Lemberg, Miya

AU - Chambers, Earle C.

AU - Telzak, Andrew

AU - Spurrell-Huss, Elizabeth

AU - Sirois, Adam

AU - Stark, Allison

AU - Racine, Andrew

PY - 2025/1/1

Y1 - 2025/1/1

N2 - Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.

AB - Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.

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Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System

Abstract

UN SDGs

ASJC Scopus subject areas

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