Geographic Variation in Medicare Services

Geographic variation in Medicare services.

n engl j med 368;16 nejm.org april 18, 2013 1465 and other health care providers. In particular, the committee was asked whether Medicare should modify payments to adjust for the value of services delivered in a region by using a value index. Such an index would account for both the health benefit obtained from delivered services and their cost. Payment rates would then be raised in areas where...

Geographic Variation in Carotid Revascularization Among Medicare Beneficiaries, 2003-2006

Methods: Analysis of claims from the Centers for Medicare & Medicaid Services from January 1, 2003, through December 31, 2006. Patients were 65 years or older and had undergone carotid endarterectomy or carotid stenting. The main outcome measures were annual ageadjusted rates of carotid endarterectomy and carotid stenting, factors associated with the use of carotid revascularization, and mortal...

Cost of practice and geographic variation in Medicare fees.

Geographic Variation in Use of Vestibular Testing among Medicare Beneficiaries.

Objective There is a lack of consensus regarding the indications for vestibular testing in the evaluation of dizziness and balance disorders. Geographic variation in health services utilization is associated with lack of consensus. To understand the variation in current practice, we investigated the patterns of use of vestibular testing and diagnosis codes for dizziness and balance disorders am...

The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization

OBJECTIVES We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea. METHODS To compare geographic va...