Journal article

Assessment of Overuse of Medical Tests and Treatments at US Hospitals Using Medicare Claims

Kelsey Chalmers, Paula Smith, Judith Garber, Valerie Gopinath, Shannon Brownlee, Aaron L Schwartz, Adam G Elshaug, Vikas Saini

JAMA Network Open | AMER MEDICAL ASSOC | Published : 2021

Abstract

Importance: Overuse of health care services exposes patients to unnecessary risk of harm and costs. Distinguishing patterns of overuse among hospitals requires hospital-level measures across multiple services. Objective: To describe characteristics of hospitals associated with overuse of health care services in the US. Design, Setting, and Participants: This retrospective cross-sectional analysis used Medicare fee-for-service claims data for beneficiaries older than 65 years from January 1, 2015, to December 31, 2017, with a lookback of 1 year. Inpatient and outpatient services were included, and services offered at specialty and federal hospitals were excluded. Patients were from hospitals ..

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Grants

Funding Acknowledgements

This research had no external sponsors and was funded by the Lown Institute.