ArticleHealth services research2016
Estimating True Resource Costs of Outpatient Care for Medicare Beneficiaries: Standardized Costs versus Medicare Payments and Charges.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed.
- The association of frailty with health care costs using the FRAIL scale.Aging clinical and experimental research · 2026Article
- Effects of Functional Impairments and Frailty on the Association of Cognitive Impairment with Total Healthcare Costs: A Prospective Multi-cohort Study.Journal of general internal medicine · 2025Article
- Incremental Healthcare Costs of Dementia and Cognitive Impairment in Community-Dwelling Older Adults: A Prospective Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Incremental healthcare costs of the simple SOF measure of phenotypic frailty in community-dwelling older adults.Journal of the American Geriatrics Society · 2025Article
- Neighborhood Socioeconomic Deprivation and Health Care Costs in Older Community-Dwelling Adults: Importance of Functional Impairment and Frailty.Journal of general internal medicine · 2024Article
- Functional Impairments, Phenotypic Frailty, and Sector-Specific Incremental Healthcare Costs in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Patient-reported experience is associated with higher future revenue and lower costs of hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Incremental Health Care Costs of Self-Reported Functional Impairments and Phenotypic Frailty in Community-Dwelling Older Adults : A Prospective Cohort Study.Annals of internal medicine · 2023Article
- Life-space mobility and healthcare costs and utilization in older men.Journal of the American Geriatrics Society · 2021Article
- Article
- Frailty Phenotype and Healthcare Costs and Utilization in Older Men.Journal of the American Geriatrics Society · 2020Article
- Multidimensional sleep health and subsequent health-care costs and utilization in older women.Sleep · 2020Article
- Abdominal aortic calcification (AAC) and ankle-brachial index (ABI) predict health care costs and utilization in older men, independent of prevalent clinical cardiovascular disease and each other.Atherosclerosis · 2020Observational
- Article
- Characterising and predicting persistent high-cost utilisers in healthcare: a retrospective cohort study in Singapore.BMJ open · 2020Article
- Health Care Resource Utilization and Costs in First-Line Treatments for Patients with Metastatic Melanoma in the United States.Journal of managed care & specialty pharmacy · 2019Observational
- Depressive Symptoms and Total Healthcare Costs: Roles of Functional Limitations and Multimorbidity.Journal of the American Geriatrics Society · 2019Article
- Characterization of high healthcare utilizer groups using administrative data from an electronic medical record database.BMC health services research · 2019Article
- Why Is Calculating the "True" Cost-to-Heal Wounds So Challenging?Advances in wound care · 2018Review
- Frailty Phenotype and Healthcare Costs and Utilization in Older Women.Journal of the American Geriatrics Society · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo compare standardized estimates of the true resource costs of outpatient health care to the allowable and billed charges for that care among Medicare Fee for Service (FFS) beneficiaries. DATA SOURCES/STUDY
settingMedicare Carrier and Outpatient Standard Analytic (SAF) files linked to participant data in the Study of Osteoporotic Fractures from 2004 through 2010. Participants were 3,435 female Medicare Fee for Service enrollees age 80 and older recruited in one rural and three metropolitan areas of the United States. STUDY
designWe estimated standardized costs for Carrier and OP-SAF claims using Medicare payment weights, and compared them to allowable and billed charges for those claims. We used semilog linear regression to estimate the associations of age, race, bone mineral density, prior fracture, and geriatric depression scale score with allowable charges, billed charges, and standardized costs.
resultsEstimated associations of patient characteristics with standardized costs were not statistically different than the associations with allowable charges (chi-squared [χ(2)]: 8.6, p = .13) but were different from associations with billed charges (χ(2): 25.5, p < .001).
conclusionAllowable charges for outpatient utilization in the Carrier file and OP-SAF may be good surrogates for standardized costs that reflect patient medical and surgical acuity.
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