Navigation Links
Rates of cardiovascular procedures differ for medicare beneficiaries
Date:7/10/2013

AURORA, Colo. (July 10, 2013) Rates of angiography and percutaneous coronary interventions were significantly lower among Medicare Advantage beneficiaries when compared to those covered by Medicare fee-for-service, according to a study by a University of Colorado School of Medicine physician published in the July 10 issue of JAMA.

The study, which included nearly 6 million Medicare Advantage and Medicare fee-for-service beneficiaries from 12 states, also found that geographic variation in procedure rates was substantial for both payment types.

"Treatment of cardiovascular disease is one of the largest drivers of health care cost in the United States, accounting for $273 billion annually. Cardiovascular procedures are major contributors to this high cost," according to background information in the article. "Little is known about how different financial incentives between Medicare Advantage and Medicare fee-for-service (FFS) reimbursement structures influence use of cardiovascular procedures."

"Under the Medicare FFS reimbursement structure, physicians are paid more for doing more procedures. In contrast, integrated delivery systems that provide care for Medicare Advantage beneficiaries receive a capitated payment, and physicians working in these settings are not paid more for doing more procedures," the authors write.

Daniel D. Matlock, MD, MPH, assistant professor of medicine at the University of Colorado School of Medicine, Aurora, and colleagues conducted a study to compare the overall rates and local area rates of coronary angiography, percutaneous coronary intervention (PCI; procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries), and coronary artery bypass graft (CABG) surgery between Medicare Advantage and Medicare FFS beneficiaries living in the same communities.

The study, which included 878,339 Medicare Advantage patients and 5,013,650 Medicare FFS patients older than 65 years of age, compared rates of these procedures between 2003-2007 across 32 hospital referral regions (HHRs) in 12 states.

The researchers found that compared with Medicare FFS patients, Medicare Advantage patients had lower age-, sex-, race-, and income-adjusted procedure rates for angiography and PCI but similar rates for CABG surgery. There were no differences between Medicare Advantage and Medicare FFS patients in the rates of urgent angiography. When examining procedure rates across HRRs, there was wide geographic variation among Medicare Advantage patients and Medicare FFS patients.


'/>"/>

Contact: Mark Couch
mark.couch@ucdenver.edu
303-724-5377
University of Colorado Denver
Source:Eurekalert

Related medicine news :

1. Women suffer higher rates of decline in aging and alzheimers disease
2. In Italy, Narconon Astore Celebrates Nineteen Years of Winning the Fight Against Addiction
3. MassDevice Big 100 East Conference Celebrates Newsmakers, Game Changers
4. Alexander Youth Network Celebrates 125th Anniversary, first year as CTA Flagship
5. Univ. of Maryland review finds mixed results for acupuncture to improve in vitro fertilization rates
6. Death rates from heart disease continue to decline in most of the EU
7. Rates of infection in intensive care units in England show impressive fall
8. esyringe® Celebrates Expansion in Life Sciences Sector
9. University of Western States Celebrates Graduates at 199th Commencement at Oregon Convention Center
10. Yorkville University’s Master of Arts in Counselling Psychology Class of 2013 Celebrates Graduation Ceremony
11. High rates of burnout and depression among anesthesia residents
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/24/2017)... ... January 23, 2017 , ... The January 2017 issue ... three-year outcome study on how outdoor behavioral healthcare (OBH) – also known as wilderness ... interpersonal difficulties while experiencing an increased sense of purpose both during and after treatment. ...
(Date:1/24/2017)... ... January 23, 2017 , ... During the January ... Carol Francis, Psychologist in the South Bay area , explained “Watching Women’s Marches ... people and by all people shines as a bright beacon of determination and ...
(Date:1/23/2017)... ... January 23, 2017 , ... A Northwestern Pennsylvania ... domain address. Alpine Springs Rehabilitation & Recovery Center’s new website can be found ... along with its redesigned and retooled website. The treatment center has also revamped ...
(Date:1/23/2017)... ... 23, 2017 , ... Ultimate Medical Academy today announced the ... held March 23-25, 2017 in Tampa, and reminded educators and education leaders to ... include Dr. Michelle R. Weise, executive director of the Sandbox Collaborative, the R&D ...
(Date:1/23/2017)... ... 23, 2017 , ... Wooden and plastic balance boards have been around since at least the ... Board is the first and only balance board to use a patent-pending design featuring ... at the same time as well as skill-level adjustable for all ages and abilities. ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... Direct-to-consumer digital marketing ... and 65% increase in consumable sales, quarter-over-quarter ... DRIO ), a leader in digital health ... Dario™ Blood Glucose Monitoring System, an all-in-one diabetes meter, ... and minimally invasive smart diabetes management solution. ...
(Date:1/23/2017)... plc, (NYSE: AGN ), a leading global pharmaceutical ... Academy (IHA). Designed to inspire a long-term commitment to Headache ... three-day, intensive overview on research and treatment options. This is ... since the inception of IHA in North America ... in 2014. "Allergan is dedicated ...
(Date:1/23/2017)... 2017  Using Astute Medical,s NephroCheck Test ... acute kidney injury (AKI) after open-heart surgery and ... guidelines significantly improved outcomes by reducing the ... 33 percent, according to a study ... Care Medicine. Experience the interactive ...
Breaking Medicine Technology: