High-Need Phenotypes in Medicare Beneficiaries: Drivers of Variation in Utilization and Outcomes.

ABSTRACT:

Objectives

High-need (HN) Medicare beneficiaries heavily use healthcare services at a high cost. This population is heterogeneous, composed of individuals with varying degrees of medical complexity and healthcare needs. To improve healthcare delivery and decrease costs, it is critical to identify the subpopulations present within this population. We aimed to (1) identify distinct clinical phenotypes present within HN Medicare beneficiaries, and (2) examine differences in outcomes between phenotypes.

Design

Latent class analysis was used to identify phenotypes within a sample of HN fee-for-service (FFS) Medicare beneficiaries aged 65 years and older using Medicare claims and post-acute assessment data.

Setting

Not applicable.

Participants

Two cross-sectional coh

SUBMITTER: Keeney T 

PROVIDER: S-EPMC6952536 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature