Assessing patient, physician, and practice characteristics predicting the use of low-value services.

ABSTRACT:

Objective

To examine characteristics of beneficiaries, physicians, and their practice sites associated with greater use of low-value services (LVS) using LVS measures that reflect current care practices.

Data sources

This study was conducted in the context of a large, nationwide primary care redesign initiative (Comprehensive Primary Care Plus), using Medicare claims data in 2018.

Study design

We examined beneficiary-level total counts of LVS based on the existing 31 claims-based measures updated by excluding three services provided with diminishing frequency to Medicare beneficiaries and by replacing these with more recently identified LVS. We estimated hierarchical linear models with an extensive list of beneficiary, physician, and practice site characteristics to e

SUBMITTER: Shin E 

PROVIDER: S-EPMC9643094 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature