ArticleHealth services research2018
Persistence of High Health Care Costs among VA Patients.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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.
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Who cites it
18 citing papers in PubMed.
- Supporting Access to Care Through Peripheral Devices and Patient-Generated Health Data: Qualitative Study.Journal of medical Internet research · 2026Article
- Use of mobile applications and mental health services among veterans who received internet-connected tablets.JAMIA open · 2024Article
- Patient-, Provider-, and Facility-Level Contributors to the Use of Cardiology Telehealth Care in the Veterans Health Administration: Retrospective Cohort Study.Journal of medical Internet research · 2024Article
- Associations Between Social Risks and Primary Care Utilization Among Medically Complex Veterans.Journal of general internal medicine · 2023Article
- Labor market costs for long-term family caregivers: the situation of caregivers of persons with spinal cord injury in Switzerland.BMC health services research · 2023Article
- Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.Health services research · 2023Article
- Distinct health care use patterns of patients with chronic gastrointestinal diseases.The American journal of managed care · 2023Observational
- Tablet distribution to veterans: an opportunity to increase patient portal adoption and use.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Disparities in virtual cardiology visits among Veterans Health Administration patients during the COVID-19 pandemic.JAMIA open · 2022Article
- Association Between Mental Health Conditions and Outpatient Care Fragmentation: a National Study of Older High-Risk Veterans.Journal of general internal medicine · 2022Article
- The economic value of long-term family caregiving. The situation of caregivers of persons with spinal cord injury in Switzerland.Health & social care in the community · 2022Article
- Improving the Prediction of Persistent High Health Care Utilizers: Retrospective Analysis Using Ensemble Methodology.JMIR medical informatics · 2022Article
- Drivers of high-cost persistence in rural China: A population-based retrospective study.Frontiers in public health · 2022Article
- Unmet health care needs and inequality: A cross-country comparison of the situation of people with spinal cord injury.Health services research · 2021Article
- Describing the characteristics and healthcare use of high-cost acute care users at the end of life: a pan-Canadian population-based study.BMC health services research · 2020Article
- Characterising and predicting persistent high-cost utilisers in healthcare: a retrospective cohort study in Singapore.BMJ open · 2020Article
- Characterization of high healthcare utilizer groups using administrative data from an electronic medical record database.BMC health services research · 2019Article
- Identifying Latent Subgroups of High-Risk Patients Using Risk Score Trajectories.Journal of general internal medicine · 2018Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo examine high-cost patients in VA and factors associated with persistence in high costs over time. DATA SOURCES: Secondary data for FY2008-2012. DATA EXTRACTION: We obtained VA and Medicare utilization and cost records for VA enrollees and drew a 20 percent random sample (N = 1,028,568). STUDY
designWe identified high-cost patients, defined as those in the top 10 percent of combined VA and Medicare costs, and determined the number of years they remained high cost over 4 years. We compared sociodemographics, clinical characteristics, and baseline utilization by number of high-cost years and conducted a discrete time survival analysis to predict high-cost persistence. PRINCIPAL
findingsAmong 105,703 patients with the highest 10 percent of costs at baseline, 68 percent did not remain high cost in subsequent years, 32 percent had high costs after 1 year, and 7 percent had high costs in all four follow-up years. Mortality, which was 47 percent by end of follow-up, largely explained low persistence. The largest percentage of patients who persisted as high cost until end of follow-up was for spinal cord injury (16 percent).
conclusionMost high-cost patients did not remain high cost in subsequent years, which poses challenges to providers and payers to manage utilization of these patients.
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