High-cost laboratory tests, roentgenograms, medications, and supplies were the focus of a voluntary cost-containment effort initiated in a community hospital emergency department. The department microcomputer determined that 100 of 1,560 possible chargeable items were responsible for 90.9% of the total cost to patients. Emphasis on cost containment in general and specific emphasis on the 100 high-cost items resulted in a 10.2% reduction in laboratory and radiology charges and a 3.3% total savings to patients.
(JAMA 243:1356-1359, 1980)
Karas S. Cost Containment in Emergency Medicine. JAMA. 1980;243(13):1356–1359. doi:10.1001/jama.1980.03300390040020