Table 1. Low-Value Service Measure Descriptions View LargeDownload Table 2. Health System Organizational, Attributed Beneficiary, and Area-Level Characteristics Associated With Low-Value Care Usea View LargeDownload Podcast (21:05) Low-Value Care at the Actionable Level of Individual Health Systems 1...
We also analyzed several secondary outcomes: annual outpatient use by type of service (based on Berenson-Eggers Type of Service codes), ED visits and observation stays, fills for chronic disease medications, inpatient admissions via EDs vs direct admissions, and inpatient admissions for ambulatory car...
Outpatient surgery or day care treatment was not included in the study due to many changes in the funding for such treatments in the included years of this study, and the structure of DRGs for these treatments is not suitable for detecting upcoding....
From this registry, we retrieved information on cause of death, coded as an individual’s underlying cause of death using ICD-10 codes [21]. Data on underlying cause of death was based on an individual’s death certificate, which was completed by a physician. For example, if a cancer ...
All payment data reflect amounts paid by Medicare and were price standardized, which equalizes payments for a service in different regions of the country.17 Beneficiaries were first attributed to the physician practice that had the plurality of payments for outpatient E&M visits wi...
Multilevel Service Delivery Frameworks Schools, outpatient settings, and primary care are the most common loci of mental health care for youth who receive services (Duong et al.,2021). Across these principal youth mental health service sectors, service delivery frameworks designed to address the full...
: To inform the delivery of cardiac rehabilitation (CR) care nationwide at the hospital level, we described hospital-level variation in CR metrics, overall and stratified by the hospital's tier of cardiac care provided. Methods : This retrospective cohort analysis used Medicare fee-for-service (...
Level of needmeans the Amount of moneya committeewill require to perform their tasksbased ontheir budget. Sample 1 Level of needmeans an assessment to identify thedirect caresupport needsof each individual referredto receivethe TCM service. This information is used todetermine thelevel ofservice ne...
health costs (β = 0.021, p = 0.770) but that it increases the amount of residents’ total outpatient costs (β = 0.379, p < 0.006), reimbursed outpatient cost (β = 0.453, p < 0.044) and out-of-pocket outpatient cost (β = 0.362, p < 0.048)...
Cohort profile: National Health Insurance Service-Senior (NHIS-Senior) cohort in Korea. BMJ Open. 2019;9(7):e024344. doi:10.1136/bmjopen-2018-024344 PubMedGoogle Scholar 22. Kim D, Yang PS, Yu HT, et al. Risk of dementia in stroke-free patients diagnosed with ...