Journal article
Measuring low-value care in medicare
AL Schwartz, BE Landon, AG Elshaug, ME Chernew, JM McWilliams
JAMA Internal Medicine | AMER MEDICAL ASSOC | Published : 2014
Abstract
IMPORTANCE: Despite the importance of identifying and reducing wasteful health care use, few direct measures of overuse have been developed. Direct measures are appealing because they identify specific services to limit and can characterize low-value care even among the most efficient providers. OBJECTIVES: To develop claims-based measures of low-value services, examine service use (and associated spending) detected by these measures in Medicare, and determine whether patterns of use are related across different types of low-value services. DESIGN, SETTING, AND PARTICIPANTS: Drawing from evidence-based lists of services that provide minimal clinical benefit, we developed 26 claims-based meas..
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Awarded by National Institute on Aging
Funding Acknowledgements
This work was supported by grants from the Beeson Career Development Award Program (National Institute on Aging grant K08 AG038354 and the American Federation for Aging Research), the Doris Duke Charitable Foundation (Clinical Scientist Development Award 2010053), the National Institute on Aging (grant P01 AG032952), the Agency for Healthcare Research and Quality (Institutional Training Grant 2T32HS000055-20), Harvard University (Christopher G. P. Walker Fellowship), and the Australian National Health and Medical Research Council (Sidney Sax Public Health Fellowship 627061).