Evidence map›Paper›PMID 25429755›Full record

ArticleHealth services research2015

The Relationship between Commercial Health Care Prices and Medicare Spending and Utilization.

John A Romley, Sarah Axeen, Darius N Lakdawalla, Michael E Chernew, Jay Bhattacharya, Dana P Goldman

Abstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

6 authors.

John A RomleySchaeffer Center for Health Policy and Economics, Sol Price School of Public Policy, University of Southern California, Los Angeles, CA.
Sarah AxeenSchaeffer Center for Health Policy and Economics, Sol Price School of Public Policy, University of Southern California, Los Angeles, CA.
Darius N LakdawallaSchaeffer Center for Health Policy and Economics, School of Pharmacy, Sol Price School of Public Policy, University of Southern California, Los Angeles, CA.
Michael E ChernewDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Jay BhattacharyaStanford University School of Medicine, Stanford, CA.
Dana P GoldmanSchaeffer Center for Health Policy and Economics, School of Pharmacy, Sol Price School of Public Policy, University of Southern California, Los Angeles, CA.

Funding

CORE--PROGRAM DEVELOPMENTP30AG017253 · NIA · STANFORD UNIVERSITY · PI BHATTACHARYA, JAY · 1999 to 2019
$5.8M
Estimating the Potential Medicare Savings from Comparative Effectiveness ResearchR37AG036791 · NIA · STANFORD UNIVERSITY · PI GARBER, ALAN MICHAEL · 2011 to 2016
$2.4M
NIA NIH HHS P30 AG017253NIA NIH HHS R37 AG036791
6 · The paper itself

Abstract

objectiveTo explore the relationship between commercial health care prices and Medicare spending/utilization across U.S. regions. DATA SOURCES: Claims from large employers and Medicare Parts A/B/D over 2007-2009. STUDY

designWe compared prices paid by commercial health plans to Medicare spending and utilization, adjusted for beneficiary health and the cost of care, across 301 hospital referral regions. PRINCIPAL

findingsA 10 percent lower commercial price (around the average level) is associated with 3.0 percent higher Medicare spending per member per year, and 4.3 percent more specialist visits (p < .01).

conclusionsCommercial health care prices are negatively associated with Medicare spending across regions. Providers may respond to low commercial prices by shifting service volume into Medicare. Further investigation is needed to establish causality.

Indexed as

CommerceFemaleHealth ExpendituresHumansInsurance Claim ReviewInsurance, HealthMaleMedicareResidence CharacteristicsUnited StatesGeographic variationhealth care spendingprovider competition and health care pricesspillovers in health caresupplied-inducer demand

Identifiers

PMID25429755
PMCPMC4450935

What OpenQuestion holds

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Registered trials

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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.