Potentially Preventable Spending Among High-Cost Medicare Patients: Implications for Healthcare Delivery.

ABSTRACT:

Background

High-cost patients account for a disproportionate share of healthcare spending. The proportion and distribution of potentially preventable spending among subgroups of high-cost patients are largely unknown.

Objective

To examine the distribution of potentially preventable spending among high-cost Medicare patients overall and potentially preventable spending associated with each high-cost category.

Design

A cross-sectional study. We merged Medicare claims and social determinants of health data to group patients into high-cost categories and quantify potentially preventable spending.

Patients

A total of 556,053 Medicare fee-for-service and dual-eligible beneficiaries with at least one healthcare encounter in the New York metropolitan area in 2014.

M

SUBMITTER: Khullar D 

PROVIDER: S-EPMC7573047 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature