Variations in hospital resource use for medicare and privately insured populations in California

被引：42

作者：

Baker, Laurence C. ^{[1
]}

Fisher, Elliott S. ^{[2
,3
]}

Wennberg, John E. ^{[4
]}

机构：

[1] Stanford Univ, Stanford, CA 94305 USA

[2] Dartmouth Med Sch, Hanover, NH USA

[3] Dartmouth Inst Hlth Policy & Clin Practice, Ctr Hlth Policy Res, Hanover, NH USA

[4] Evaluat Clin Sci, Dartmouth, NS, Canada

来源：

HEALTH AFFAIRS | 2008年 / 27卷 / 02期

关键词：

D O I：

10.1377/hlthaff.27.2.w123

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The amount of resources used in the care of chronically ill Medicare fee-for-service (FFS) patients varies widely across hospitals. We studied variations across California hospitals in hospital resource use for chronically ill patients covered by Medicare health maintenance organizations (HMOs) and private insurers and found substantial variation in all of the coverage groups studied. Resource-use measures based on Medicare FFS data often reflect patterns evident for other payers. Previous estimates of savings if the most resource-intensive hospitals more closely resembled less resource-intensive hospitals, based on just Medicare FFS spending, could underestimate possible savings when other payers are taken into account.

引用

页码：W123 / W134

页数：12

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