Geographic variation in cardiovascular procedure use among medicare fee-for-service vs medicare advantage beneficiaries

JAMA

Volumn 310, Issue 2, 2013, Pages 155-162

  Matlock, Daniel D ^a,b,c   Groeneveld, Peter W ^d,e   Sidney, Steve ^f   Shetterly, Susan ^b,c   Goodrich, Glenn ^c   Glenn, Karen ^c   Xu, Stan ^b,c   Yang, Lin ^d   Farmer, Steven A ^g,h   Reynolds, Kristi ^c   Cassidy Bushrow, Andrea E ⁱ   Lieu, Tracy ^j   Boudreau, Denise M ^k   Greenlee, Robert T ^l   Tom, Jeffrey ^c   Vupputuri, Suma ^m   Adams, Kenneth F ⁿ   Smith, David H ^m   Gunter, Margaret J ^o   Go, Alan S ^f,p,q   Magid, David J ^b,c   more..

^a UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^b Colorado Cardiovascular Outcomes Research Group ^*  (United States)

^c KAISER PERMANENTE   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e VETERANS AFFAIRS MEDICAL CENTER   (United States)

^f DIVISION OF RESEARCH   (United States)

^g NORTHWESTERN UNIVERSITY   (United States)

^h NORTHWESTERN UNIVERSITY   (United States)

ⁱ HENRY FORD HOSPITAL   (United States)

^j HARVARD MEDICAL SCHOOL   (United States)

^k GROUP HEALTH RESEARCH INSTITUTE   (United States)

^l MARSHFIELD CLINIC   (United States)

^m CENTER FOR HEALTH RESEARCH   (United States)

ⁿ HEALTHPARTNERS RESEARCH FOUNDATION   (United States)

^o LOVELACE CLINIC FOUNDATION   (United States)

^p UNIVERSITY OF CALIFORNIA   (United States)

^q STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ANGIOCARDIOGRAPHY; ARTICLE; CARDIOVASCULAR PROCEDURE; CARDIOVASCULAR RISK; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CROSS-SECTIONAL STUDY; FEMALE; HEALTH CARE DISPARITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; PATIENT REFERRAL; PERCUTANEOUS CORONARY INTERVENTION; PRIORITY JOURNAL; RISK FACTOR; UNITED STATES; AGE; CAPITATION FEE; COMPARATIVE STUDY; GEOGRAPHY; REIMBURSEMENT; SEX DIFFERENCE; STATISTICS; UTILIZATION REVIEW; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; CAPITATION FEE; CORONARY ANGIOGRAPHY; CORONARY ARTERY BYPASS; CROSS-SECTIONAL STUDIES; FEE-FOR-SERVICE PLANS; FEMALE; GEOGRAPHY; HUMANS; MALE; MEDICARE; MEDICARE PART C; PERCUTANEOUS CORONARY INTERVENTION; REIMBURSEMENT, INCENTIVE; SEX FACTORS; UNITED STATES;

MLCS; MLOWN;

EID: 84880175366     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2013.7837     Document Type: Article

References (32)

1. Heidenreich PA, Trogdon JG, Khavjou OA, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation. 2011;123(8):933-944.
2. Matlock DD, Peterson PN, Heidenreich PA, et al. Regional variation in the use of implantable cardioverter-defibrillators for primary prevention: results from the National Cardiovascular Data Registry. Circ Cardiovasc Qual Outcomes. 2011;4(1):114-121.
3. Lucas FL, Sirovich BE, Gallagher PM, Siewers AE, Wennberg DE. Variation in cardiologists' propensity to test and treat: is it associated with regional variation in utilization? Circ Cardiovasc Qual Outcomes. 2010;3(3):253-260.
4. Wennberg DE, Birkmeyer JD, Birkmeyer NJO. The Dartmouth Atlas of Cardiovascular Health Care. Chicago, IL: AHA Press; 1999.
5. Ko DT, Wang Y, Alter DA, et al. Regional variation in cardiac catheterization appropriateness and baseline risk after acutemyocardial infarction. J Am Coll Cardiol. 2008;51(7):716-723. (Pubitemid 351227417)
6. Dartmouth Institute for Health Policy and Clinical Practice. The Dartmouth Atlas of Health Care. Dartmouth Atlas website. www.dartmouthatlas.org. Accessed July 1, 2012.
7. Zarabozo C, Harrison S. Payment policy and the growth of Medicare Advantage. Health Aff (Millwood). 2009;28(1):w55-w67.
8. Bach PB. A map to bad policy - hospital efficiency measures in the Dartmouth Atlas. N Engl J Med. 2010;362(7):569-574.
9. Anderson HV. Regional variation: only moderately interesting: a word of caution. Circ Cardiovasc Qual Outcomes. 2010;3(1):6-7.
10. Barnato AE, Bost JE, Farrell MH, et al. Relationship between staff perceptions of hospital norms and hospital-level end-of-life treatment intensity. J Palliat Med. 2007;10(5):1093-1100. (Pubitemid 350073549)
11. HMO Research Network website. www.hmoresearchnetwork.org/. Accessed July 1, 2012.
12. Magid DJ, Gurwitz JH, Rumsfeld JS, Go AS. Creating a research data network for cardiovascular disease: the CVRN. Expert Rev Cardiovasc Ther. 2008;6(8):1043-1045.
13. Go AS, Magid DJ, Wells B, et al. The Cardiovascular Research Network: a new paradigm for cardiovascular quality and outcomes research. Circ Cardiovasc Qual Outcomes. 2008;1(2):138-147.
14. Epstein AJ, Polsky D, Yang F, Yang L, Groeneveld PW. Coronary revascularization trends in the United States, 2001-2008. JAMA. 2011;305(17):1769-1776.
15. Gordis L. Epidemiology. Amsterdam, the Netherlands: Elsevier Science; 2004.
16. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97(18):1837-1847. (Pubitemid 28213628)
17. The Patient Protection and Affordable Care Act 2010. Pub L 111-148. US Government Printing Office website. www.gpo.gov/fdsys/pkg/PLAW-111publ148 /content-detail.html. Accessed May 9, 2013.
18. Cooper AL, Trivedi AN. Fitness memberships and favorable selection in Medicare Advantage plans. N Engl J Med. 2012;366(2):150-157.
19. Fisher ES, Wennberg JE. Health care quality, geographic variations, and the challenge of supply-sensitive care. Perspect Biol Med. 2003;46(1):69-79. (Pubitemid 36188548)
20. Wennberg DE, Dickens J Jr, Soule DN, et al. The relationship between the supply of cardiac catheterization laboratories, cardiologists and the use of invasive cardiac procedures in northern New England. J Health Serv Res Policy. 1997;2(2):75-80. (Pubitemid 27196933)
21. Sutherland JM, Fisher ES, Skinner JS. Getting past denial - the high cost of health care in the United States. N Engl J Med. 2009;361(13): 1227-1230.
22. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending, part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-287. (Pubitemid 36205924)
23. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending, part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138(4):288-298. (Pubitemid 36205925)
24. Fowler FJ Jr, Gallagher PM, Anthony DL, Larsen K, Skinner JS. Relationship between regional per capita Medicare expenditures and patient perceptions of quality of care. JAMA. 2008;299(20):2406-2412. (Pubitemid 351749239)
25. Anthony DL, Herndon MB, Gallagher PM, et al. How much do patients' preferences contribute to resource use? Health Aff (Millwood). 2009;28(3):864-873.
26. Matlock DD, Peterson PN, Wang Y, et al. Variation in use of dual-chamber implantable cardioverter-defibrillators: results from the National Cardiovascular Data Registry. Arch Intern Med. 2012;172(8):634-641.
27. Lin CY, Farrell MH, Lave JR, Angus DC, Barnato AE. Organizational determinants of hospital end-of-life treatment intensity. Med Care. 2009;47(5):524-530.
28. Baker LC, Fisher ES, Wennberg JE. Variations in hospital resource use for Medicare and privately insured populations in California. Health Aff (Millwood). 2008;27(2):w123-w134. (Pubitemid 351490373)
29. Stiefel M, Feigenbaum P, Fisher ES. The Dartmouth Atlas applied to Kaiser Permanente: analysis of variation in care at the end of life. Perm J. 2008;12(1):4-9.
30. McGuire TG, Newhouse JP, Sinaiko AD. An economic history of Medicare part C. Milbank Q. 2011;89(2):289-332.
31. Institute of Medicine. Clinical Practice Guidelines: Directions for a New Program. Washington, DC: National Academies Press; 1990. www.nap.edu/openbook. php?record-id=1626. Accessed May 9, 2013.
32. Institute of Medicine. Initial National Priorities for Comparative Effectiveness Research. Washington, DC: National Academies Press; 2009. www.iom.edu/Reports/2009/ComparativeEffectivenessResearchPriorities. aspx. Accessed May 9, 2013.