Comparison of Low-Value Care in Medicaid vs Commercially Insured Populations
نویسندگان
چکیده
منابع مشابه
Use of Low-Value Pediatric Services Among the Commercially Insured.
BACKGROUND Claims-based measures of "low-value" pediatric services could facilitate the implementation of interventions to reduce the provision of potentially harmful services to children. However, few such measures have been developed. METHODS We developed claims-based measures of 20 services that typically do not improve child health according to evidence-based guidelines (eg, cough and col...
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Vaccination rates among United States (US) adults are suboptimal, resulting in morbidity, mortality, and financial burden attributable to potentially vaccine-preventable diseases (VPDs). Unadjusted annual incidence proportions of VPDs were estimated for Medicaid and commercially insured adults aged 19-64 years using 2006-2010 claims, along with age/gender-adjusted incidence proportions for 2010...
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PURPOSE Limited research has examined the factors associated with female permanent contraception procedures. This study evaluated the temporal trend in the use of hysteroscopic sterilization (HS) vs laparoscopic sterilization (LS) and characteristics of commercially insured and Medicaid-insured women in the US who have had the procedures. METHODS Women aged 15-49 years with claims for HS and ...
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PURPOSE To analyze commercial payer differences in the average costs and readmission rates between inpatient open hysterectomies and three types of outpatient hysterectomies: laparoscopic, laparoscopic assisted, and vaginal. DESIGN/METHODOLOGY A retrospective claims data analysis was conducted using the 2012 and 2013 Truven Health Analytics MarketScan Commercial Claims and Encounter Database....
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Under several national health care reform proposals in 1994, many Medicaid beneficiaries would have enrolled in health maintenance organizations (HMOs) with other persons. Several states already enroll Medicaid beneficiaries in HMOs with commercial enrollees. This DataWatch examines the cost of Medicaid enrollees in HMOs relative to the cost of commercial enrollees. Data from nine HMOs indicate...
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ژورنال
عنوان ژورنال: JAMA Internal Medicine
سال: 2016
ISSN: 2168-6106
DOI: 10.1001/jamainternmed.2016.2086