The Complex Relationship Between Quality and Resource Use among Medicare Fee-for-Service Beneficiaries with Diabetes

Wendy Yi Xu, Jean Abraham, Schelomo Marmor, David Knutson, Beth A. Virnig

Research output: Contribution to journalArticle

Abstract

This study examines the relationship between Healthcare Effectiveness Data and Information Set-based diabetes quality measures and resource use for evaluation and management (E&M), inpatient facility, and surgical procedure services for a national sample of Medicare fee-for-service beneficiaries in 1685 Hospital Service Areas. Using multivariate regression analyses, the study findings suggest that higher rates of beneficiaries' receipt of HbA1c, low-density lipoprotein cholesterol, and retinal eye exam tests ("composite quality") during the year is inversely related to average inpatient resource use. However, no association is found between composite quality and E&M services, suggesting that quality improvement with respect to increased rates of testing could be achieved without significant increases in resource use.

Original languageEnglish (US)
Pages (from-to)17-23
Number of pages7
JournalPopulation Health Management
Volume19
Issue number1
DOIs
StatePublished - Feb 1 2016

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