Elevated end-of-life spending: A new measure of potentially wasteful health care spending at the end of life.

ABSTRACT:

Objective

To construct a new measure of end-of-life (EoL) spending-the elevated EoL spending-and examine its associations with measures of quality of care and patient and physician preferences in comparison with the commonly used total Medicare EoL spending measures.

Data sources and study setting

Medicare claims data for a 20% random sample of Medicare fee-for-service (FFS) patients, from the health care quality data for 2015-2016, from the Hospital Compare and the Medicare Geographic Variation public use file, and survey data about patient and physician preferences.

Study design

We constructed the elevated EoL spending measure as the differential monthly spending between decedents and survivors with the same one-year mortality risk, where the risk was predicted usin

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC9836947 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature