CDI Prevention: CDiffControl Cost-Avoidance Analysis

Why CDI Prevention Becomes Inevitable with "CDiffControl"

A cost-avoidance standard of care for antibiotic use in high-risk seniors

CDI is largely iatrogenic, disproportionately affecting patients ≥65 in hospitals and LTCFs, resulting in prolonged hospital stays, readmissions, increased mortality, and CMS penalties.

1

The Problem CMS Cannot Avoid

CDI is largely iatrogenic

Triggered primarily by antibiotic use, CDI disproportionately affects patients ≥65 in hospitals and Long-Term Care Facilities (LTCFs).

Clinical and financial consequences

CDI results in:

  • Prolonged hospital stays
  • Increased readmissions
  • Higher mortality rates
  • CMS penalties (HACs, readmission metrics)
Average cost per CDI case to CMS: ~$30,000 — a significant financial burden that is largely preventable.
2

The Preventable Population Is Known Before Infection

Unlike most diseases, CDI risk is fully identifiable in advance

High-risk criteria:

Age ≥65 Hospitalized or in LTCF Receiving antibiotics
~8 million patients annually in the U.S. meet these criteria. No screening, diagnostics, or behavior change required for identification.
3

The Economic Asymmetry That Drives Adoption

Treating 1 CDI Infection

$30,000

Average CMS cost per CDI case, including extended hospital stays, readmissions, and associated care.

CDI Preventive IgY (36 days)

$500

Complete preventive course for high-risk patients during antibiotic exposure and post-exposure risk window.

Break-even analysis

CMS only needs to prevent ~1 CDI per 60 patients treated to fully pay for prevention.

Even a ~2% absolute reduction in CDI incidence creates net savings.

Internal modeling shows ~2:1 system payback — conservative estimate.

4

Why Uptake Should Approach 100%

This is not physician-preference driven

Adoption is driven by:

  • Budget-positive economics
  • Predictable outcomes
  • Auditable implementation
  • Alignment with CMS incentives

Implementation pathway

Once validated, "CDiffControl" CDI prevention becomes:

  • Automatically bundled with antibiotics
  • Included in hospital order sets
  • Applied at admission or first antibiotic dose
  • Enforced through reimbursement policy, not persuasion

Hospitals are paid to avoid CDI. This tool enables them to do it reliably.

5

Why This Is Different From Existing Approaches

Existing Approach Limitation
Antibiotic stewardship Reduces use, doesn't eliminate risk
Probiotics Inconsistent efficacy, safety concerns
Environmental cleaning Post-exposure intervention
Diagnostics Reactive, implemented after infection
"CDiffControl" IgY prevention Acts during antibiotic exposure, pathogen-specific, non-systemic and safe, directly targets CDI pathogenesis

"CDiffControl" CDI prevention becomes inevitable the moment CMS realizes it saves $30,000 by paying $500.

Methodology Note: Cost estimates based on CMS claims data analysis, peer-reviewed literature on CDI treatment costs, and internal modeling of preventive intervention impact. Population estimates derived from CDC surveillance data and Medicare claims analysis. Economic projections assume conservative efficacy estimates and current reimbursement structures.

Scroll to Top