Exploring State-Level Change in Health Care Value Over Three Decades in the United States, 1991-2020.

ABSTRACT:

Objective

To examine trends in state-level health care value over three decades, defined using statewide health care spending and cause-specific mortality, and to explore its associations with potentially modifiable state attributes.

Study setting and design

We use stochastic frontier analysis to identify the "inefficiency" of each state's delivery system in converting health care spending into lower mortality-incidence or mortality-prevalence rates, adjusting for underlying population risk (age, smoking, obesity, etc.). We combine these inefficiency scores to score and compare delivery system value for each state and track change over three decades. Then, we use linear regression to look across states and identify state-level attributes significantly associated with greater

SUBMITTER: Lescinsky H 

PROVIDER: S-EPMC12857514 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature