Low-Value Service Use in Provider Organizations.

ABSTRACT:

Objective

To assess whether provider organizations exhibit distinct profiles of low-value service provision.

Data sources

2007-2011 Medicare fee-for-service claims and enrollment data.

Study design

Use of 31 services that provide minimal clinical benefit was measured for 4,039,733 beneficiaries served by 3,137 provider organizations. Variation across organizations, persistence within organizations over time, and correlations in use of different types of low-value services within organizations were estimated via multilevel modeling, with adjustment for beneficiary sociodemographic and clinical characteristics.

Principal findings

Organizations provided 45.6 low-value services per 100 beneficiaries on average, with considerable variation across organizations (90th

SUBMITTER: Schwartz AL 

PROVIDER: S-EPMC5785325 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature