Comparison of Low-Value Care Among Commercial and Medicaid Enrollees.

ABSTRACT:

Background

Low-value healthcare is costly and inefficient and may adversely affect patient outcomes. Despite increases in low-value service use, little is known about how the receipt of low-value care differs across payers.

Objective

To evaluate differences in the use of low-value care between patients with commercial versus Medicaid coverage.

Design

Retrospective observational analysis of the 2017 Rhode Island All-payer Claims Database, estimating the probability of receiving each of 14 low-value services between commercial and Medicaid enrollees, adjusting for patient sociodemographic and clinical characteristics. Ensemble machine learning minimized the possibility of model misspecification.

Participants

Medicaid and commercial enrollees aged 18-64 with conti

SUBMITTER: Ellison JE 

PROVIDER: S-EPMC10039208 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature