Using Diagnoses to Estimate Health Care Cost Risk in Canada.

ABSTRACT: OBJECTIVE:Until recently, the options for summarizing Canadian patient complexity were limited to health risk predictive modeling tools developed outside of Canada. This study aims to validate a new model created by the Canadian Institute for Health Information (CIHI) for Canada's health care environment. RESEARCH DESIGN:This was a cohort study. SUBJECTS:The rolling population eligible for coverage under Ontario's Universal Provincial Health Insurance Program in the fiscal years (FYs) 2006/2007-2016/2017 (12-13 million annually) comprised the subjects. MEASURES:To evaluate model performance, we compared predicted cost risk at the individual level, on the basis of diagnosis history, with estimates of actual patient-level cost using "out-of-the-box" cost weights created by running the CIHI s

SUBMITTER: Li Y 

PROVIDER: S-EPMC6798736 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature