ArticleHealth services research2018
Medical Group Characteristics and the Cost and Quality of Care for Medicare Beneficiaries.
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 13 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.
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Who cites it
13 citing papers in PubMed.
- Rural Gastroenterologist Supply Within the United States: A Workforce Review from 2014 to 2025.Digestive diseases and sciences · 2026Article
- Chronic conditions and healthcare cost and utilization among underserved Medicare beneficiaries.PloS one · 2026Article
- Employee Engagement in Quality Improvement and Patient Sociodemographic Characteristics in Federally Qualified Health Centers.Medical care research and review : MCRR · 2023Article
- Gastroenterology Practice Consolidation Between 2012 and 2020.Digestive diseases and sciences · 2022Article
- Healthcare utilization and costs among high-need and frail Mexican American Medicare beneficiaries.PloS one · 2022Article
- Urology Workforce Changes and Implications for Prostate Cancer Care Among Medicare Enrollees.Urology · 2021Article
- The CMS State Innovation Models Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices.Medical care research and review : MCRR · 2021Article
- The importance of understanding and measuring health system structural, functional, and clinical integration.Health services research · 2020Article
- Organizational integration, practice capabilities, and outcomes in clinically complex medicare beneficiaries.Health services research · 2020Article
- Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges.Journal of general internal medicine · 2020Observational
- Article
- What Humans Need.Annals of family medicineArticle
- The "Iron Triangle" of Healthcare Services: Evaluating an Integrated Healthcare Alliance's Impact on Primary Care in Shenzhen, China.International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the relationship between outcomes of care and medical practices' structure and use of organized care improvement processes. DATA SOURCES/STUDY
settingWe linked Medicare claims data to our national survey of physician practices (2012-2013). Fifty percent response rate; 1,040 responding practices; 31,888 physicians; 868,213 attributed Medicare beneficiaries. STUDY
designCross-sectional observational analysis of the relationship between practice characteristics and total spending, readmissions, and ambulatory care-sensitive admissions (ACSAs), for all beneficiaries and five categories of beneficiary defined by predicted need for care. PRINCIPAL
findingsPractices with 100+ physicians and 50-99 physicians had, respectively, annual spending per high-need beneficiary that was $1,870 (12.5 percent) and $1,824 higher than practices with 1-2 physicians, and readmission rates 1.64 and 1.71 higher. ACSA rates did not vary significantly by practice size. Outcomes did not vary significantly by ownership or by practices' use of organized processes to improve care.
conclusionsLarge practices had higher spending and readmission rates than the smallest practices, especially for high-need beneficiaries. There were no significant performance differences between physician-owned and hospital-owned practices. Policy makers should consider the effects of specific policies on provider organization, pending further research to learn which types of practice provide better care.
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