Predicting costs among medicare beneficiaries with heart failure

American Journal of Cardiology

Volumn 109, Issue 5, 2012, Pages 705-711

  Greiner, Melissa A ^a   Hammill, Bradley G ^a   Fonarow, Gregg C ^c   Whellan, David J ^d   Eapen, Zubin J ^a,b   Hernandez, Adrian F ^a,b   Curtis, Lesley H ^a,b  

^a DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^b DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UCLA MEDICAL CENTER   (United States)

^d THOMAS JEFFERSON UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ANEMIA; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CREATININE BLOOD LEVEL; DIABETES MELLITUS; FEMALE; HEALTH CARE COST; HEART FAILURE; HOSPITALIZATION; HUMAN; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICARE; PERIPHERAL VASCULAR DISEASE; PREDICTION; PRIORITY JOURNAL; RACE DIFFERENCE; REGISTER; SYSTOLIC BLOOD PRESSURE;

AGED; COST OF ILLNESS; DELIVERY OF HEALTH CARE; FEMALE; FOLLOW-UP STUDIES; HEALTH CARE COSTS; HEART FAILURE; HOSPITALIZATION; HUMANS; INPATIENTS; MALE; MEDICARE; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 84857625992     PISSN: 00029149     EISSN: 18791913     Source Type: Journal    
DOI: 10.1016/j.amjcard.2011.10.031     Document Type: Article

References (28)

1. M.W. Rich, V. Beckham, C. Wittenberg, C.L. Leven, K.E. Freedland, R.M. Carney A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure N Engl J Med 333 1995 1190 1195
2. B. Riegel, B. Carlson, D. Glaser, P. Hoagland Which patients with heart failure respond best to multidisciplinary disease management? J Card Fail 6 2000 290 299 (Pubitemid 32051876)
3. B. Smith, P.F. Hughes-Cromwick, E. Forkner, A.D. Galbreath Cost-effectiveness of telephonic disease management in heart failure Am J Manag Care 14 2008 106 115 (Pubitemid 351312093)
4. Z.J. Eapen, S.D. Reed, L.H. Curtis, A.F. Hernandez, E.D. Peterson Do heart failure disease management programs make financial sense under a bundled payment system? Am Heart J 161 2011 916 922
5. G.C. Fonarow, W.T. Abraham, N.M. Albert, W.A. Gattis, M. Gheorghiade, B. Greenberg, C.M. O'Connor, C.W. Yancy, J. Young Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF): rationale and design Am Heart J 148 2004 43 51 (Pubitemid 38900479)
6. B.G. Hammill, A.F. Hernandez, E.D. Peterson, G.C. Fonarow, K.A. Schulman, L.H. Curtis Linking inpatient clinical registry data to Medicare claims data using indirect identifiers Am Heart J 157 2009 996 1000
7. Joint Commission Specifications manual for national hospital quality measures http://www.jointcommission.org/PerformanceMeasurement/ PerformanceMeasurement/Historical+NHQM+manuals.htm 2006 Accessed December 21, 2009
8. L.H. Curtis, M.A. Greiner, B.G. Hammill, L.D. DiMartino, A.M. Shea, A.F. Hernandez, G.C. Fonarow Representativeness of a national heart failure quality-of-care registry: comparison of OPTIMIZE-HF and nonOPTIMIZE-HF Medicare patients Circ Cardiovasc Qual Outcomes 2 2009 377 384
9. D.J. Whellan, M.A. Greiner, K.A. Schulman, L.H. Curtis Costs of inpatient care among Medicare beneficiaries with heart failure, 2001 to 2004 Circ Cardiovasc Qual Outcomes 3 2010 33 40
10. L.H. Curtis, M.A. Greiner, B.G. Hammill, J.M. Kramer, D.J. Whellan, K.A. Schulman, A.F. Hernandez Early and long-term outcomes of heart failure in elderly persons, 20012005 Arch Intern Med 168 2008 2481 2488
11. F.E. Harrell Jr Regression Modeling Strategies 2001 Springer-Verlag New York
12. P.S. Keenan, S.L. Normand, Z. Lin, E.E. Drye, K.R. Bhat, J.S. Ross, J.D. Schuur, B.D. Stauffer, S.M. Bernheim, A.J. Epstein, Y. Wang, J. Herrin, J. Chen, J.J. Federer, J.A. Mattera, Y. Wang, H.M. Krumholz An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure Circ Cardiovasc Qual Outcomes 1 2008 29 37
13. H.M. Krumholz, Y. Wang, J.A. Mattera, Y. Wang, L.F. Han, M.J. Ingber, S. Roman, S.L. Normand An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure Circulation 113 2006 1693 1701
14. R.L. Prentice, J.D. Kalbfleisch, A.V. Peterson Jr, N. Flournoy, V.T. Farewell, N.E. Breslow The analysis of failure times in the presence of competing risks Biometrics 34 1978 541 554 (Pubitemid 9067879)
15. R.J. Gray A class of K-sample tests for comparing the cumulative incidence of a competing risk Ann Stat 16 1988 1141 1154
16. H.M. Krumholz, E.M. Parent, N. Tu, V. Vaccarino, Y. Wang, M.J. Radford, J. Hennen Readmission after hospitalization for congestive heart failure among Medicare beneficiaries Arch Intern Med 157 1997 99 104 (Pubitemid 27027080)
17. D.W. Hosmer, S. Lemeshow Applied Logistic Regression 2nd Ed. 2000 John Wiley & Sons New York
18. R.T. Meenan, C. O'Keeffe-Rosetti, M.C. Hornbrook, D.J. Bachman, M.J. Goodman, P.A. Fishman, A.V. Hurtado The sensitivity and specificity of forecasting high-cost users of medical care Med Care 37 1999 815 823
19. L. Liao, K.J. Anstrom, J.S. Gottdiener, P.A. Pappas, D.J. Whellan, D.W. Kitzman, G.P. Aurigemma, D.B. Mark, K.A. Schulman, J.G. Jollis Long-term costs and resource use in elderly participants with congestive heart failure in the Cardiovascular Health Study Am Heart J 153 2007 245 252 (Pubitemid 46096870)
20. D.J. Wexler, J. Chen, G.L. Smith, M.J. Radford, S. Yaari, W.D. Bradford, H.M. Krumholz Predictors of costs of caring for elderly patients discharged with heart failure Am Heart J 142 2001 350 357 (Pubitemid 32706295)
21. M. Charlson, R.E. Charlson, W. Briggs, J. Hollenberg Can disease management target patients most likely to generate high costs? The impact of comorbidity J Gen Intern Med 22 2007 464 469 (Pubitemid 46941213)
22. J.L. Wolff, B. Starfield, G. Anderson Prevalence, expenditures, and complications of multiple chronic conditions in the elderly Arch Intern Med 162 2002 2269 2276 (Pubitemid 35332510)
23. P.R. Orszag, E.J. Emanuel Health care reform and cost control N Engl J Med 363 2010 601 603
24. Kaiser Family Foundation Summary of key changes to Medicare in 2010 health reform law http://www.kff.org/healthreform/7948.cfm Accessed December 1, 2010
25. G.M. Hackbarth Letter from Glenn M Hackbarth, chairman of the Medicare Payment Advisory Commission (MedPAC), to Donald M Berwick, administrator of the Centers for Medicare & Medicaid Services http://www.medpac.gov/documents/ 11222010-ACO-COMMENT-MedPAC.pdf November 22, 2010 Accessed December 1, 2010
26. D. Berwick Launching accountable care organizationsthe proposed rule for Medicare shared savings program N Engl J Med 364 2011 e32
27. R.D. Kociol, M.A. Greiner, B.G. Hammill, H. Phatak, G.C. Fonarow, L.H. Curtis, A.F. Hernandez Long-term outcomes of Medicare beneficiaries with worsening renal function during hospitalization for heart failure Am J Cardiol 105 2010 1786 1793
28. D.C. Chan, P.A. Heidenreich, M.C. Weinstein, G.C. Fonarow Heart failure disease management programs: a cost-effectiveness analysis Am Heart J 155 2008 332 338