The Impact of Redistricting Proposals on Health Care Expenditures for Liver Transplant Candidates and Recipients.

ABSTRACT: Redistricting, which means sharing organs in novel districts developed through mathematical optimization, has been proposed to reduce pervasive geographic disparities in access to liver transplantation. The economic impact of redistricting was evaluated with two distinct data sources, Medicare claims and the University HealthSystem Consortium (UHC). We estimated total Medicare payments under (i) the current allocation system (Share 35), (ii) full regional sharing, (iii) an eight-district plan, and (iv) a four-district plan for a simulated population of patients listed for liver transplant over 5 years, using the liver simulated allocation model. The model predicted 5-year transplant volumes (Share 35, 29,267; regional sharing, 29,005; eight districts, 29,034; four districts, 28,265) and a

SUBMITTER: Gentry SE 

PROVIDER: S-EPMC11561895 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature