TY - JOUR
T1 - The Complex Relationship Between Quality and Resource Use among Medicare Fee-for-Service Beneficiaries with Diabetes
AU - Xu, Wendy Yi
AU - Abraham, Jean
AU - Marmor, Schelomo
AU - Knutson, David
AU - Virnig, Beth A.
N1 - Funding Information:
This study was supported by the Robert Wood Johnson Foundation (Grant Number 64570).
Publisher Copyright:
© Copyright 2016, Mary Ann Liebert, Inc.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - 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.
AB - 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.
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U2 - 10.1089/pop.2014.0149
DO - 10.1089/pop.2014.0149
M3 - Article
C2 - 25919091
AN - SCOPUS:84957681117
SN - 1942-7891
VL - 19
SP - 17
EP - 23
JO - Population Health Management
JF - Population Health Management
IS - 1
ER -
