Cost Variation in Diabetes Care across Dutch Care Groups?

ABSTRACT:

Objective

The introduction of bundled payment for diabetes care in the Netherlands led to the origination of care groups. This study explored to what extent variation in health care costs per patient can be attributed to the performance of care groups. Furthermore, the commonly applied simple mean aggregation was compared with the more advanced generalized linear mixed model (GLMM) to benchmark health care costs per patient between care groups.

Data source

Dutch 2009 nationwide insurance claims data of diabetes type 2 patients (104,544 patients, 50 care groups).

Study design

Both a simple mean aggregation and a GLMM approach was applied to rank care groups, using two different health care costs variables: total treatment health care costs and diabetes-specific special

SUBMITTER: Mohnen SM 

PROVIDER: S-EPMC5264018 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature