Health system affiliation of physician organizations and quality of care for Medicare beneficiaries who have high needs.

ABSTRACT:

Objective

To test the hypothesis that health systems provide better care to patients with high needs by comparing differences in quality between system-affiliated and nonaffiliated physician organizations (POs) and to examine variability in quality across health systems.

Data sources

2015 Medicare Data on Provider Practice and Specialty linked physicians to POs. Medicare Provider Enrollment, Chain, and Ownership System (PECOS) and IRS Form 990 data identified health system affiliations. Fee-for-service Medicare enrollment and claims data were used to examine quality.

Study design

This cross-sectional analysis of beneficiaries with high needs, defined as having more than twice the expected spending of an average beneficiary, examined six quality measures: continuity of

SUBMITTER: Kranz AM 

PROVIDER: S-EPMC7720706 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature