Healthcare spending in the State of Louisiana
Abstract Background The State of Louisiana spends the most on Medicare beneficiaries per capita, but reports greater disparities in health status and death rates than other states. This project sought to investigate the associations between healthcare intensity, healthcare spending, and mortality in...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-019-4275-y |
| _version_ | 1828426383727001600 |
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| author | Blake P. Kruger Jeremiah R. Brown |
| author_facet | Blake P. Kruger Jeremiah R. Brown |
| author_sort | Blake P. Kruger |
| collection | DOAJ |
| description | Abstract Background The State of Louisiana spends the most on Medicare beneficiaries per capita, but reports greater disparities in health status and death rates than other states. This project sought to investigate the associations between healthcare intensity, healthcare spending, and mortality in Louisiana. Methods We used a 100% sample of 2014 Medicare claims data with beneficiaries assigned to hospital referral regions in Louisiana using small area analysis. We used simple and multivariable linear regression modelling to evaluate associations between healthcare intensity, healthcare spending rates, and mortality rates. We adjusted for age, sex, race, and population health risk factors. Results We found no statistically significant associations between our measured variables when adjusted for age, sex, and race. These results were consistent after further adjusting mortality for population health risk factors. Conclusions To our knowledge, no prior studies have investigated the associations between healthcare intensity, healthcare spending, and mortality in Louisiana. Our findings suggest that increased healthcare spending in Louisiana may not improve survival. Identifying more granular aspects of healthcare contributing to spending patterns in Louisiana may provide targets for future quality improvement work. |
| first_indexed | 2024-12-10T16:45:17Z |
| format | Article |
| id | doaj.art-7c112968fe5646feb4cfe1bd1a687148 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-10T16:45:17Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7c112968fe5646feb4cfe1bd1a6871482022-12-22T01:41:05ZengBMCBMC Health Services Research1472-69632019-07-0119111310.1186/s12913-019-4275-yHealthcare spending in the State of LouisianaBlake P. Kruger0Jeremiah R. Brown1Jacobs School of Medicine & Biomedical Sciences, State University of New York at BuffaloDartmouth College, Departments of Epidemiology, Biomedical Data Science, and The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of MedicineAbstract Background The State of Louisiana spends the most on Medicare beneficiaries per capita, but reports greater disparities in health status and death rates than other states. This project sought to investigate the associations between healthcare intensity, healthcare spending, and mortality in Louisiana. Methods We used a 100% sample of 2014 Medicare claims data with beneficiaries assigned to hospital referral regions in Louisiana using small area analysis. We used simple and multivariable linear regression modelling to evaluate associations between healthcare intensity, healthcare spending rates, and mortality rates. We adjusted for age, sex, race, and population health risk factors. Results We found no statistically significant associations between our measured variables when adjusted for age, sex, and race. These results were consistent after further adjusting mortality for population health risk factors. Conclusions To our knowledge, no prior studies have investigated the associations between healthcare intensity, healthcare spending, and mortality in Louisiana. Our findings suggest that increased healthcare spending in Louisiana may not improve survival. Identifying more granular aspects of healthcare contributing to spending patterns in Louisiana may provide targets for future quality improvement work.http://link.springer.com/article/10.1186/s12913-019-4275-yHealthcare spendingHospital utilizationOutcomes researchMedicare |
| spellingShingle | Blake P. Kruger Jeremiah R. Brown Healthcare spending in the State of Louisiana BMC Health Services Research Healthcare spending Hospital utilization Outcomes research Medicare |
| title | Healthcare spending in the State of Louisiana |
| title_full | Healthcare spending in the State of Louisiana |
| title_fullStr | Healthcare spending in the State of Louisiana |
| title_full_unstemmed | Healthcare spending in the State of Louisiana |
| title_short | Healthcare spending in the State of Louisiana |
| title_sort | healthcare spending in the state of louisiana |
| topic | Healthcare spending Hospital utilization Outcomes research Medicare |
| url | http://link.springer.com/article/10.1186/s12913-019-4275-y |
| work_keys_str_mv | AT blakepkruger healthcarespendinginthestateoflouisiana AT jeremiahrbrown healthcarespendinginthestateoflouisiana |