Cost and reimbursement analysis of selected hospital diagnoses via activity-based costing

dc.contributor.authorPopesko, Boris
dc.contributor.authorPapadaki ,Šárka
dc.contributor.authorNovák, Petr
dc.contributor.otherEkonomická fakultacs
dc.description.abstractAccurately estimating the cost and reimbursement of individual patients and groups of diagnoses has featured in numerous research studies in recent decades. The ever increasing cost of healthcare services, in contrast with the limited resources available, means hospitals have to utilize more advanced management and economics tools in order to boost their efficiency. Detailed and accurate cost-related information could result in superior decision-making and better resource utilization. The accuracy of calculating costs depends on the costing method used, with traditional methods often giving rise to inaccurate cost allocation. The study presents analysis of the costs and reimbursements of selected DRGs and patients within three particular departments at a Czech regional hospital (ENT, Dermatology and Neonatology). The costs of the given samples of patients were calculated by a custom Activity-Based Costing (ABC) application, comprising a more appropriate approach than a traditional costing method. The ABC methodology applied enables more accurate cost estimation for individual patients and DRGs, also generating a variety of additional cost-related information which could potentially inform any decision-making process. The study discusses the differences between the cost and reimbursement of individual diagnosis groups and cost variances between distinct patients within the each diagnosis, along with the managerial implications of the information obtained.en
dc.format.extent50-61 s.cs
dc.publisherTechnická Univerzita v Libercics
dc.publisherTechnical university of Liberec, Czech Republicen
dc.relation.isbasedonACOSTA, R.S. Effects of Health Insurance Concentration Market on Insurance Coverage in Colombia. Journal of Competitiveness. 2014, Vol. 6, No. 3, pp. 3-19. ISSN 1804-1728. DOI:10.7441/joc.2014.03.01.
dc.relation.isbasedonBAKER, J.J. Activity-Based Costing and Activity-Based Management for Health Care. Gaithersburg, Maryland: An Aspen Publication, 1998. ISBN 0834211157.
dc.relation.isbasedonBAMS, J.L., MIRANDA, D.R. Outcome and costs of intensive care. Intensive Care Medicine. 1985, Vol. 11, Iss. 5, pp. 234–241. ISSN 1432-1238.
dc.relation.isbasedonCAO, P., TOYABE, S., AKAZAWA, K. Development of a practical costing method for hospitals. Tohoku Journal of Experimental Medicine. 2006, Vol. 208, Iss. 3, pp. 213-224. ISSN 1349-3329.
dc.relation.isbasedonCARDINAELS, E., ROODHOOFT, F., VAN HERCK, G. Drivers of cost system development in hospitals: results of a survey. Health Policy. 2004, Vol. 69, Iss. 2, pp. 239-252. ISSN 0168-8510.
dc.relation.isbasedonCARVALHO JERICÓ, M., CASTILHO, V. Cost management: the implementation of the activity-based costing method in central sterilizing services. Revista da Escola de Enfermagem da USP. 2010, Vol. 44, No. 3, pp. 734-741. ISSN 1980-220X. DOI: 10.1590/S0080-62342010000300028.
dc.relation.isbasedonDEJNEGA, O. Utilization of the Activity Based Costing and the Time-Driven Activity Based Costing Methods in Practice for Process Cost Measurement. Economics Management Innovation. 2010, Vol. 2, No. 1, pp 11-19. ISSN 1805-353X.
dc.relation.isbasedonDRURY, C. Management and Cost Accounting. 5th ed. Thomson Learning, 2000. ISBN 1861525362.
dc.relation.isbasedonEDBROOKE, D.L., STEVENS, V.G., HIBBERT, C.L., MANN, A.J., WILSON, A.J. A new method of accurately identifying costs of individual patients in intensive care: the initial results. Intensive Care Medicine. 1997, Vol. 23, Iss. 6, pp. 645-650. ISSN 1432-1238.
dc.relation.isbasedonELDENBURG, L., KALLAPUR, S. Changes in hospital service mix and cost allocations in response to changes in Medicare reimbursement schemes. Journal of Accounting and Economics. 1997, Vol. 23, Iss. 1, pp. 31-51. ISSN 0165-4101.
dc.relation.isbasedonEVERAERT, P., BRUGGEMAN, W., DE CREUS, G. Sanac Inc.: From ABC to Timedriven ABC (TDABC) – an instructional case. Journal of Accounting Education. 2008, Vol. 26, Iss. 3, pp. 118-154. ISSN 0748-5751. DOI: 10.1016/j.jaccedu.2008.03.001.
dc.relation.isbasedonFINKLER, S.A. The distinction between cost and charges. Annals of internal medicine. 1982, Vol. 96, Iss. 1, pp. 102-109. ISSN 0003-4819.
dc.relation.isbasedonGUJRAL, S., DONGRE, K., et al. Activity-based costing methodology as tool for costing in hematopathology laboratory. Indian Journal of Pathology and Microbiology. 2010, Vol. 53, Iss. 1, pp. 68-74. ISSN 0377-4929. DOI: 10.4103/0377-4929.59187.
dc.relation.isbasedonHELMI, M.A., TANJU, M.N. Activity-based costing may reduce costs, aid planning. Healthcare financial management: journal of the Healthcare Financial Management Association. 1991, Vol. 45, Iss. 11, pp. 95-96. ISSN 0735-0732.
dc.relation.isbasedonCHERNEW, M.E., HIRTH, R.A., CUTLER, D.M. Increased spending on health care: how much can the United States afford? Health Affairs. 2003, Vol. 22, Iss. 4, pp. 15-25. ISSN 0278-2715. DOI: 10.1377/hlthaff.22.4.15.
dc.relation.isbasedonKOYAMA, W. Lifestyle change improves individual health and lowers healthcare costs. Methods of information in medicine. 2000, Vol. 39, Iss. 3, pp. 229-232. ISSN 0026-1270.
dc.relation.isbasedonLIN, B.Y.J., CHAO, T.H., et al. How can activity-based costing methodology be performed as a powerful tool to calculate costs and secure appropriate patient care? Journal of Medical Systems. 2007, Vol. 31, Iss. 2, pp. 85-90. ISSN 1573-689X. DOI: 10.1007/s10916-005-9010-z.
dc.relation.isbasedonLIEVENS, Y., VAN DEN BOGAERT, W., KESTELOOT, K. Activity-based costing: a practical model for cost calculation in radiotherapy. International Journal of Radiation Oncology Biology Physics. 2003, Vol. 57, Iss. 2, pp. 522-535. ISSN 0360-3016. DOI: 10.1016/S0360-3016(03)00579-0.
dc.relation.isbasedonPEDEN, A.L., BAKER, J.J. Allocating physiciansoverhead costs to services: an econometric/accounting-activity based-approach. Journal of health care finance. 2002, Vol. 29, Iss. 1, pp. 57-75. ISSN 1078-6767.
dc.relation.isbasedonPOPESKO, B., NOVÁK, P. Activity-Based Costing Methodology as Tool for Costing in Otorhinolaryngology Department. In: Proceedings of the Finance and the Performance of the Firms in Science, Education and Practice Conference. 2013, pp. 571-579. ISBN 978-80-7454-246-6.
dc.relation.isbasedonRAMSEY, R. Activity-Based Costing for Hospital. Hospital and Health Service Administration. 1994, Vol. 39, Iss. 3, pp. 389-96. ISSN 8750-3735.
dc.relation.isbasedonRIEWPAIBOON, A., MALAROJE, S., KONGSAWATT, S. Effect of costing methods on unit cost of hospital medical services. Tropical Medicine & International Health. 2007, Vol. 12, Iss. 4, pp. 554-563. ISSN 1365-3156. DOI: 10.1111/j.1365-3156.2007.01815.x.
dc.relation.isbasedonSTANISIC, S., et al. Societal cost savings through bevacizumab-based treatment in non-small cell lung cancer (NSCLC). Lung Cancer. 2010, Vol. 69, pp. S24-S30. ISSN 0169-5002. DOI: 10.1016/S0169-5002(10)70135-5
dc.relation.isbasedonSTOUTHUYSEN, K., DEMEERE, N., ROODHOOFT, F. Time-Driven Activity-Based Costing in an outpatient clinic environment: Development, relevance and managerial impact. Health Policy. 2009, Vol. 92, Iss. 2-3, pp. 296-304. ISSN 0168-8510. DOI: 10.1016/j.healthpol.2009.05.003.
dc.relation.isbasedonŠIMROVÁ, J., BARTÁK, M., VOJTÍŠEK, R., ROGALEWICZ, V. The costs and reimbursements for lung cancer treatment among selected health care providers in the Czech Republic. E+M Ekonomie a Management. 2014, Vol. 17, Iss. 3., pp. 74-85. ISSN 1212-3609. DOI:
dc.relation.isbasedonŠOLTÉS, V., GAVUROVÁ, B. The Functionality Comparison of the Health Care Systems by the Analytical Hierarchy Process Method. E+M Ekonomie a Management. 2014, Vol. 17, Iss. 3, pp. 100-117. ISSN 1212-3609. DOI:
dc.relation.isbasedonTHORLEY, N., JOHNS, E.L. Adoption of costing systems by US hospitals. Journal of Healthcare Management. 1994, Vol. 39, Iss. 4, pp. 521-537. ISSN 0973-0729.
dc.relation.isbasedonTUČEK, D., TUČKOVÁ, Z., HÁJKOVÁ, M. Utilization Level of Business Process Management in Czech Enterprises – Objectives and Factors. E+M Ekonomie a Management. 2013, Vol. 16, Iss. 2, pp. 81-98. ISSN 1212-3609.
dc.relation.isbasedonUDPA, S. Activity-based costing for hospitals. Health Care Management Review. 1996, Vol. 21, Iss. 3, pp. 83-96. ISSN 0361-6274. DOI: 10.1097/00004010-199622000-00009.
dc.relation.isbasedonVOGL, M. Improving patient-level costing in the English and the German ‘DRG’ system. Health Policy. 2013, Vol. 109, Iss. 3, pp. 290-300. ISSN 0168-8510. DOI: 10.1016/j.healthpol.2012.09.008.
dc.relation.ispartofEkonomie a Managementcs
dc.relation.ispartofEconomics and Managementen
dc.rightsCC BY-NC
dc.subjectafter-sales serviceen
dc.subjectcar servicing companyen
dc.subjectcustomer satisfactionen
dc.subjectfinancial resultsen
dc.titleCost and reimbursement analysis of selected hospital diagnoses via activity-based costingen
local.facultyFaculty of Economics
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