Low-value care and excess out-of-pocket expenditure among older adults with incident cancer - A machine learning approach.

ABSTRACT:

Objective

To evaluate the association of low-value care with excess out-of-pocket expenditure among older adults diagnosed with incident breast, prostate, colorectal cancers, and Non-Hodgkin's Lymphoma.

Methods

We used a retrospective cohort study design with 12-month baseline and follow-up periods. We identified a cohort of older adults (age ≥ 66 years) diagnosed with breast, prostate, colorectal cancers, or Non-Hodgkin's lymphoma between January 2014 and December 2014. We assessed low-value care and patient out-of-pocket expenditure in the follow-up period. We identified relevant low-value services using ICD9/ICD10 and CPT/HCPCS codes from the linked health claims and patient out-of-pocket expenditure from Medicare claim files and expressed expenditure in 2016 USD.

Resu

SUBMITTER: Iloabuchi C 

PROVIDER: S-EPMC8916690 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature