Tag: cms

1. In this retrospective study, augmentation of the Centers for Medicare & Medicaid Services Hierarchical Condition Category cost prediction model with a validated claims-based frailty index significantly improved its accuracy at different levels of frailty. 2. While its estimates were more precise on average, the improved model was still not...
1. In this study comparing three prominent lung cancer screening strategies, all were found to be cost-effective, yielding incremental cost-effectiveness ratios of under $100,000/quality adjusted life-year gained, the commonly referenced U.S. willingness-to-pay threshold. 2. As the maximum age for screening eligibility increased, greater reductions in cancer mortality were realized but...
Image: PD 1. Low-value or unnecessary care was found to affect 42% of Medicare beneficiaries or 25% using a more narrow definition of inappropriate care. 2. Low-value or unnecessary care constituted 2.7% of the overall cost-of-care for the population or 0.6% using a more narrow definition of inappropriate care. Evidence Rating...
Image: PD 1. Institute of Medicine reports a correlation between geography and cost and quality data in the Medicare population. 2. On average there is a 42% difference in cost per Medicare member between high and low cost regions. Evidence Rating Level: 2 (Good)  Study Rundown: For over three decades, there have been...