Methods and Results eTable 1. Codes Used for Measures of Low-Value Services eTable 2. Use and Associated Spending of Services Detected by Low-Value Service Measures, by Category eReferences 1. Cassel CK, Guest JA. Choosing Wisely: helping physicians and patients make smart decisions about their...
Payer type and low-value care: comparing Choosing Wisely services across commercial and Medicare populations. Health Serv Res. 2018;53(2):730-746. doi:10.1111/1475-6773.12665 PubMedGoogle ScholarCrossref 16. Mafi JN, Wee CC, Davis RB, Landon BE. Association of ...
Medicare claims, Hospital Compare, Nursing Home Compare, Area Resource File, Health Inequity Project, and Long-term Care Focus. The final sample contained 3,156 hospitals in 1,504 counties.Data sources were combined using Medicare hospital identifiers or Federal Information Processing Standard codes.A...
Medicare reimbursement may be positively- or negatively-adjusted based on performance. Alternative payment model: A incentive payment approach and track of the QPP that allows for providers to participate in qualified care pathways prioritizing quality and value. APMs can revolve around specific clinical...
(EHR) for both HNP and UKB cohorts. Our meta analysis across both data sets identified 74 statistically significant associations (p < 1×10-9) between 27 genes and 49 phecodes (Table2and TableS1). While most of the significant associations were obtained with a LoF model, 29 were ...
Administration costs, radiation costs, and physician visits were calculated using Current Procedure Terminology (CPT) codes according to the Medicare physician fee schedule for 2014 (Table 2) [30]. Using the CONKO-001 and RTOG 9704 studies, we calculated the cost (including cost of drugs, ...
Participating panel payers noted that they identify high-risk patients with COPD through their claims data, ICD-10 (International Classification of Diseases, Tenth Revision) diagnosis codes, and National Drug Codes, and may assign patients to a case manager to follow up with members and monitor ...
The use of LVC is costly. For example, the annual cost of LVC for the US Medicare population was estimated to be $8.5 billion, which is almost 3% of total Medicare spending [7]. LVC is a concern both for individual patients and health care systems, and in order to provide evidence-bas...
Comparing Medicare and private insurers: growth rates in spending over three decades. Health Aff (Millwood). 2003;22(2):230-237. doi:10.1377/hlthaff.22.2.230PubMedGoogle ScholarCrossref See More About Less is More Cataract and Other Lens Disorders Ophthalmology Health Care Quality Health Care...
These were not likely sources of significant bias, however, because we found a significant positive correlation between categories of low-value services that did not rely on diagnosis codes to define (ie, age-inappropriate cancer screening and preoperative testing) and because our results were not ...