Evidence map›Paper›PMID 38200270›Full record

ArticlePediatric radiology2024

Evaluation of claims data from a commercial value-based insurance product shows pediatric imaging is not a major driver of overall or pediatric healthcare expenditures.

Lane F Donnelly, Benjamin P Dellva, Jamie A Jarmul, Michael J Steiner, Amy W Shaheen

Abstract read
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Article in Pediatric radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Lane F DonnellyUniversity of North Carolina Health Alliance, Morrisville, NC, USA. lane_donnelly@med.unc.edu.ORCID 0000-0003-1882-3518
Benjamin P DellvaUniversity of North Carolina Health Alliance, Morrisville, NC, USA.
Jamie A JarmulUniversity of North Carolina Health Alliance, Morrisville, NC, USA.
Michael J SteinerUniversity of North Carolina Health Alliance, Morrisville, NC, USA.
Amy W ShaheenUniversity of North Carolina Health Alliance, Morrisville, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitiatives to reduce healthcare expenditures often focus on imaging, suggesting that imaging is a major driver of cost.

objectiveTo evaluate medical expenditures and determine if imaging was a major driver in pediatric as compared to adult populations.

methodsWe reviewed all claims data for members in a value-based contract between a commercial insurer and a healthcare system for calendar years 2021 and 2022. For both pediatric (<18 years of age) and adult populations, we analyzed average per member per year (PMPY) medical expenditures related to imaging as well as other categories of large medical expenses. Average PMPY expenditures were compared between adult and pediatric patients.

resultsChildren made up approximately 20% of members and 21% of member months but only 8-9% of expenditures. Imaging expenditures in pediatric members were 0.2% of the total healthcare spend and 2.9% of total pediatric expenditures. Imaging expenditures per member were seven times greater in adults than children. The rank order of imaging expenditures and imaging modalities was also different in pediatric as compared to adult members.

conclusionEvaluation of claims data from a commercial value-based insurance product shows that pediatric imaging is not a major driver of overall, nor pediatric only, healthcare expenditures.

Indexed as

Diagnostic ImagingHealth ExpendituresInsurance Claim ReviewValue-Based Health InsuranceAdolescentAdultChildChild, PreschoolFemaleHumansInfantMalePediatricsUnited StatesHealthcare expendituresImagingPediatric

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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.