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Using Medicare claims for outcomes research.
Med Care. 1994 Jul; 32(7 Suppl):JS38-51.MC

Abstract

Medicare claims databases have several advantages for use in constructing episodes of care for outcomes research. They are population-based, relatively inexpensive to obtain, include large numbers of cases, and can be used for long-term follow-up. However, the sheer size of these claims databases, along with their primarily administrative (as opposed to clinical) nature, requires that researchers take special care in using them. The 10 PORTs using Medicare claims provided information on their approach to several key issues in working with these data, including: 1) identifying the index cases or patient cohorts to be studied; 2) defining the length of the episode; and 3) measuring outcomes. This paper reports the experience and knowledge gained by these PORTs in using these claims to create and analyze episodes of care.

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Authors+Show Affiliations

Mitchell JB
Health Economics Research, Inc., Waltham, MA 02154.
Bubolz T
No affiliation info available
Paul JE
No affiliation info available
Pashos CL
No affiliation info available
Escarce JJ
No affiliation info available
Muhlbaier LH
No affiliation info available
Wiesman JM
No affiliation info available
Young WW
No affiliation info available
Epstein RS
No affiliation info available
Javitt JC
No affiliation info available

MeSH

Databases, FactualEpisode of CareHealth Services ResearchHumansInsurance Claim ReportingMedicare Part AMedicare Part BOutcome Assessment, Health CareUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8028412

Citation

Mitchell, J B., et al. "Using Medicare Claims for Outcomes Research." Medical Care, vol. 32, no. 7 Suppl, 1994, pp. JS38-51.
Mitchell JB, Bubolz T, Paul JE, et al. Using Medicare claims for outcomes research. Med Care. 1994;32(7 Suppl):JS38-51.
Mitchell, J. B., Bubolz, T., Paul, J. E., Pashos, C. L., Escarce, J. J., Muhlbaier, L. H., Wiesman, J. M., Young, W. W., Epstein, R. S., & Javitt, J. C. (1994). Using Medicare claims for outcomes research. Medical Care, 32(7 Suppl), JS38-51.
Mitchell JB, et al. Using Medicare Claims for Outcomes Research. Med Care. 1994;32(7 Suppl):JS38-51. PubMed PMID: 8028412.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Using Medicare claims for outcomes research. AU - Mitchell,J B, AU - Bubolz,T, AU - Paul,J E, AU - Pashos,C L, AU - Escarce,J J, AU - Muhlbaier,L H, AU - Wiesman,J M, AU - Young,W W, AU - Epstein,R S, AU - Javitt,J C, PY - 1994/7/1/pubmed PY - 1994/7/1/medline PY - 1994/7/1/entrez SP - JS38 EP - 51 JF - Medical care JO - Med Care VL - 32 IS - 7 Suppl N2 - Medicare claims databases have several advantages for use in constructing episodes of care for outcomes research. They are population-based, relatively inexpensive to obtain, include large numbers of cases, and can be used for long-term follow-up. However, the sheer size of these claims databases, along with their primarily administrative (as opposed to clinical) nature, requires that researchers take special care in using them. The 10 PORTs using Medicare claims provided information on their approach to several key issues in working with these data, including: 1) identifying the index cases or patient cohorts to be studied; 2) defining the length of the episode; and 3) measuring outcomes. This paper reports the experience and knowledge gained by these PORTs in using these claims to create and analyze episodes of care. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/8028412/Using_Medicare_claims_for_outcomes_research_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8028412.ui DB - PRIME DP - Unbound Medicine ER -