Evidence map›Paper›PMID 23962514›Full record

ArticleJournal of the National Cancer Institute. Monographs2013

A standardized relative resource cost model for medical care: application to cancer control programs.

Maureen C O'Keeffe-Rosetti, Mark C Hornbrook, Paul A Fishman, Debra P Ritzwoller, Erin M Keast, Jenny Staab, Jennifer Elston Lafata, Ramzi Salloum

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute. Monographs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Cost-Effectiveness of Remote Cognitive-Behavioral-Based Therapy for Chronic Pain Among People With High-Impact Chronic Pain.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026
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  19. Medical Care Costs Associated With Cancer in Integrated Delivery Systems.Journal of the National Comprehensive Cancer Network : JNCCN · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maureen C O'Keeffe-RosettiCenter for Health Research, Northwest/Hawai'i/Southeast, Kaiser Permanente Northwest, 3800 North Interstate Ave, Portland, OR 97227-1110, USA. maureen.rosetti@kpchr.org
Mark C Hornbrook
Paul A Fishman
Debra P Ritzwoller
Erin M Keast
Jenny Staab
Jennifer Elston Lafata
Ramzi Salloum

Funding

The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI WAGNER, EDWARD H · 1999 to 2011
$62.6M
Medical Care Burden of Cancer: System and Data IssuesR01CA114204 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HORNBROOK, MARK CHRISTOPHER · 2007 to 2010
$2.7M
Building CER Capacity: Aligning CRN, CMS, and State Resources to Map Cancer CareRC2CA148185 · NCI · DANA-FARBER CANCER INST · PI RITZWOLLER, DEBRA P, WEEKS, JANE C. · 2009 to 2009
$2.0M
Comparative effectiveness in genomic & personalized medicine for colon cancerUC2CA148471 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GODDARD, KATRINA A., KUSHI, LAWRENCE H · 2010 to 2010
$2.0M
NCI NIH HHS 5UC2CA148471NCI NIH HHS R01 CA114204NCI NIH HHS R01 CA114204-03S1NCI NIH HHS RC2 CA148185NCI NIH HHS U19 CA79689
6 · The paper itself

Abstract

Medicare data represent 75% of aged and permanently disabled Medicare beneficiaries enrolled in the fee-for-service (FFS) indemnity option, but the data omit 25% of beneficiaries enrolled in Medicare Advantage health maintenance organizations (HMOs). Little research has examined how longitudinal patterns of utilization differ between HMOs and FFS. The Burden of Cancer Study developed and implemented an algorithm to assign standardized relative costs to HMO and Medicare FFS data consistently across time and place. Medicare uses 15 payment systems to reimburse FFS providers for covered services. The standardized relative resource cost algorithm (SRRCA) adapts these various payment systems to utilization data. We describe the rationale for modifications to the Medicare payment systems and discuss the implications of these modifications. We applied the SRRCA to data from four HMO sites and the linked Surveillance, Epidemiology, and End Results-Medicare data. Some modifications to Medicare payment systems were required, because data elements needed to categorize utilization were missing from both data sources. For example, data were not available to create episodes for home health services received, so we assigned costs per visit based on visit type (nurse, therapist, and aide). For inpatient utilization, we modified Medicare's payment algorithm by changing it from a flat payment per diagnosis-related group to daily rates for diagnosis-related groups to differentiate shorter versus longer stays. The SRRCA can be used in multiple managed care plans and across multiple FFS delivery systems within the United States to create consistent relative cost data for economic analyses. Prior to international use of the SRRCA, data need to be standardized.

Indexed as

AgedAged, 80 and overAlgorithmsDelivery of Health CareFee-for-Service PlansHealth ExpendituresHealth Maintenance OrganizationsHealth ResourcesHumansMedicareMedicare Part CNeoplasmsUnited States

Identifiers

PMID23962514
PMCPMC3748000

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.