Contribution of preventable acute care spending to total spending for high-cost

JAMA

Volumn 309, Issue 24, 2013, Pages 2572-2578

  Joynt, Karen E ^a,b,c   Gawande, Atul A ^a,b   Orav, E John ^a,b   Jha, Ashish K ^a,b,c  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c VA BOSTON HEALTHCARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; ARTICLE; COMORBIDITY; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST CONTROL; EMERGENCY CARE; ETHNIC DIFFERENCE; FEMALE; HEALTH CARE COST; HOSPITAL CARE; HOSPITAL COST; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICARE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; REGIONALIZATION; SEX DIFFERENCE;

EID: 84879377748     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2013.7103     Document Type: Article

References (22)

1. Niefeld MR, Braunstein JB, Wu AW, Saudek CD, Weller WE, Anderson GF. Preventable hospitalization among elderly Medicare beneficiaries with type 2 diabetes. Diabetes Care. 2003;26(5):1344-1349. (Pubitemid 36929161)
2. Riley GF. Long-term trends in the concentration of Medicare spending. Health Aff (Millwood) . 2007;26(3):808-816.
3. Smulowitz PB, Lipton R, Wharam JF, et al. Emergency department utilization after the implementation of Massachusetts health reform. Ann Emerg Med. 2011;58(3):225-234.
4. Ballard DW, Price M, Fung V, et al. Validation of an algorithm for categorizing the severity of hospital emergency department visits. Med Care . 2010;48(1):58-63.
5. Billings J, Anderson GM, Newman LS. Recent findings on preventable hospitalizations. Health Aff (Millwood). 1996;15(3):239-249. (Pubitemid 126434348)
6. Oster A, Bindman AB. Emergency department visits for ambulatory care sensitive conditions: insights into preventable hospitalizations. Med Care. 2003;41(2):198-207.
7. Braunstein JB, Anderson GF, Gerstenblith G, et al. Noncardiac comorbidity increases preventable hospitalizations and mortality among Medicare beneficiarieswith chronic heart failure. J AmColl Cardiol. 2003;42(7):1226-1233. (Pubitemid 37188347)
8. Congressional Budget Office. Lessons from Medicare's Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment. Washington, DC: Congressional Budget Office; 2012.
9. Dartmouth Institute for Health Policy and Clinical Practice. The Dartmouth Atlas of Health Care. 2012. http://www.dartmouthatlas.org/. Accessed July 22, 2012.
10. Garber AM, MaCurdy TE, McClellan MB. Persistence of Medicare expenditures among elderly beneficiaries. In: Garber AM, ed. Frontiers in Health Policy Research. Vol 1. Cambridge: National Bureau of Economic Research, Massachusetts Institute of Technology; 1998:153-180.
11. Bhattacharya J, Garber AM, MaCurdy TE. The narrowing dispersion of Medicare expenditures 1997 to 2005. In: Wise DA, ed. Research Findings in the Economics of Aging. Chicago, IL: National Bureau of Economic Research, University of Chicago Press; 2010:387-407.
12. NYU Wagner. NYU ED algorithm: background. 2000. http://wagner.nyu.edu/ faculty/billings /nyued-background.php. Accessed March 13, 2013.
13. Wharam JF, Landon BE, Galbraith AA, Kleinman KP, Soumerai SB, Ross-Degnan D. Emergency department use and subsequent hospitalizations among members of a high-deductible health plan. JAMA. 2007;297(10):1093-1102. (Pubitemid 46425514)
14. Agency for Healthcare Research and Quality. Prevention Quality Indicators overview. 2011. http://www.qualityindicators.ahrq.gov/modules/pqi-overview. aspx. Accessed January 15, 2013.
15. Basu J, Friedman B, Burstin H. Primary care,HMO enrollment, and hospitalization for ambulatory care sensitive conditions: a new approach. Med Care. 2002;40(12):1260-1269.
16. Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalizations and access to health care. JAMA. 1995;274(4):305-311.
17. Jiang HJ, Russo CA, Barrett ML. Nationwide Frequency and Costs of Potentially Preventable Hospitalizations, 2006. Rockville, MD: Agency for Healthcare Research &Quality; April 2009. HCUP Statistical Brief 72.
18. Brown RS, Peikes D, Peterson G, Schore J, Razafindrakoto CM. Six features of Medicare coordinated care demonstration programs that cut hospital admissions of high-risk patients. Health Aff (Millwood). 2012;31(6):1156-1166.
19. Cebul RD, Rebitzer JB, Taylor LJ, Votruba ME. Organizational fragmentation and care quality in the US healthcare system. J Econ Perspect. 2008;22(4):93-113.
20. Miller DC, Gust C, Dimick JB, Birkmeyer N, Skinner J, Birkmeyer JD. Large variations in Medicare payments for surgery highlight savings potential from bundled payment programs. Health Aff (Millwood). 2011;30(11):2107-2115.
21. Congressional Budget Office. High-Cost Medicare Beneficiaries. Washington, DC: Congressional Budget Office; 2005.
22. Baicker K, Chandra A. Medicare spending, the physician workforce, and beneficiaries' quality of care. Health Aff (Millwood). 2004(suppl web exclusives): W4-184-W4-197. (Pubitemid 39297567)