Payer Type and Low-Value Care: Comparing Choosing Wisely Services across Commercial and Medicare Populations.

ABSTRACT:

Objective

To compare low-value health service use among commercially insured and Medicare populations and explore the influence of payer type on the provision of low-value care.

Data sources

2009-2011 national Medicare and commercial insurance administrative data.

Design

We created claims-based algorithms to measure seven Choosing Wisely-identified low-value services and examined the correlation between commercial and Medicare overuse overall and at the regional level. Regression models explored associations between overuse and regional characteristics.

Methods

We created measures of early imaging for back pain, vitamin D screening, cervical cancer screening over age 65, prescription opioid use for migraines, cardiac testing in asymptomatic patients, short-inte

SUBMITTER: Colla CH 

PROVIDER: S-EPMC5867100 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature