Evidence map›Paper›PMID 32776954›Full record

ArticlePloS one2020

Attributing medical spending to conditions: A comparison of methods.

Kaushik Ghosh, Irina Bondarenko, Kassandra L Messer, Susan T Stewart, Trivellore Raghunathan, Allison B Rosen, David M Cutler

Abstract readComparative Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. A Satellite Account for Health in the United States.The American economic review · 2022
    Article
  5. Article
  6. Article
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

7 authors.

Kaushik GhoshThe National Bureau of Economic Research, Cambridge, Massachusetts, United States of America.ORCID 0000-0002-0021-1073
Irina BondarenkoInstitute for Social Research and Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, United States of America.
Kassandra L MesserInstitute for Social Research and Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, United States of America.
Susan T StewartThe National Bureau of Economic Research, Cambridge, Massachusetts, United States of America.
Trivellore RaghunathanInstitute for Social Research and Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, United States of America.
Allison B RosenThe National Bureau of Economic Research, Cambridge, Massachusetts, United States of America.
David M CutlerThe National Bureau of Economic Research, Cambridge, Massachusetts, United States of America.

Funding

Expanding the National Health AccountsP01AG031098 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M · 2009 to 2013
$9.2M
Using Satellite National Health Accounts to Understand Health and Cost ChangesR37AG047312 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M · 2015 to 2022
$5.3M
NIA NIH HHS P01 AG031098NIA NIH HHS R37 AG047312
6 · The paper itself

Abstract

To understand the cost burden of medical care it is essential to partition medical spending into conditions. Two broad strategies have been used to measure disease-specific spending. The first attributes each medical claim to the condition that physicians list as its cause. The second decomposes total spending for a person over a year to their cumulative set of health conditions. Traditionally, this has been done through regression analysis. This paper has two contributions. First, we develop a new cost attribution method to attribute spending to conditions using a more flexible attribution approach, based on propensity score analysis. Second, we compare the propensity score approach to the claims-based approach and the regression approach in a common set of beneficiaries age 65 and older in the 2009 Medicare Current Beneficiary Survey. Our estimates show that the three methods have important differences in spending allocation and that the propensity score model likely offers the best theoretical and empirical combination.

Indexed as

Cost of IllnessAgedCosts and Cost AnalysisFemaleHumansInsurance Claim ReviewMaleMedicarePropensity ScoreRegression AnalysisUnited States

Identifiers

PMID32776954
PMCPMC7416958

What OpenQuestion holds

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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.