Data concordance between ESRD Medical Evidence Report and Medicare claims: is there any improvement?

ABSTRACT:

Background

Medicare is one of the world's largest health insurance programs. It provides health insurance to nearly 44 million beneficiaries whose entitlements are based on age, disability, or end-stage renal disease (ESRD). Data of these ESRD beneficiaries are collected in the US Renal Data System (USRDS), which includes comorbidity information entered at the time of dialysis initiation (medical evidence data), and are used to shape health care policy. One limitation of USRDS data is the lack of validation of these medical evidence comorbidities against other comorbidity data sources, such as medical claims data.

Methods

We examined the potential for discordance between USRDS Medical Evidence and medical claims data for 11 comorbid conditions amongst Medicare beneficiaries

SUBMITTER: Mu Y 

PROVIDER: S-EPMC6065459 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature