For more information visit www.iom.edu/geovariation. Variation in Health Care. Spending. Target Decision Making, Not. Geography. Health care in the United States is more expensive than in other devel- oped countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs  ...

commissioned research that examined individual insurance claims (from. Medicare, Medicaid, and private insurers) and used the information on the claims to adjust for the patients' individual health status. The institute's report, titled “ Variation in Health Care Spending: Target Decision Making,. Not Geography,” concludes ...

Variation in Health Care. Spending. Target Decision Making, Not Geography. Page 2. 2. Committee on Geographic Variation in. Health Care Spending and Promotion of. High-Value Care. Joseph P. Newhouse (Chair). Harvard School of Public Health, Harvard. Kennedy School, and Harvard Medical School. Alan Garber ...

Geographic Variations in Health Care Costs. An Exploration of Recent Studies. Gretchen Nye. Public Health 6015. 2014. This paper was prepared for the Jayne Koskinas and Ted Giovanis Foundation for. Health and ..... Variation in Health Care Spending: Target Decision Making, Not Geography - Institute of Medicine.

Jun 7, 2017 ... 5. Report findings state that even after accounting for differences in age, sex, health status, demography, and insurance markets, a large amount of geographic variation remains unexplained. Institute of Medicine of the National Academies, “ Variation in Health Care Spending; Target Decision Making, Not ...

icine's recent report on variation of care, which concluded 'target decision making , not geography'. [5] It follows then that if we want to improve health care and reduce costs, we should under- stand and improve the way doctors make decisions [4]. We hypoth- esize that the observed practice variation is related to individual.

Newhouse JP, Garber AM, Graham RP, et al. Variation in health care spending: Target decision making, not geography. Washington, DC: National Academies Press, 2013. 5. Chernew M, Sabik L, Chandra A, et al. Geographic correlation between large-firm commercial spending and Medicare spending. Am J Manag Care ...

Mar 15, 2017 ... IMPORTANCE While the substantial variation in health care spending across regions and hospitals is well known, ... hospital was larger than variation across hospitals (for hospitalists, 8.4% across physicians vs. 7.0% across hospitals ...... in Health Care. Spending: Target Decision Making, Not Geography.

Apr 13, 2015 ... Institute of Medicine. Variation in Health Care Spending: Target Decision. Making , Not Geography. Washington, DC: National Academy of Sciences;. 2013. 4. Zhang Y, Baik SH, Fendrick AM, Baicker K. Comparing local and regional variation in health care spending. N Engl J Med. 2012;367(18):1724-1731.

ences an area's level of spending. Some. Geographic Variation in Health Care Spending: A Closer Look. AmericAn HospitAl AssociAtion november 2009. TRENDWATCH factors drive differences in payment levels including policy decisions and market forces. Differences in utilization patterns are driven by other factors, ...

capita costs of health care) as a framework to transform health care delivery.1 Understanding and effectively managing ... support and guide decisionmaking by primary care providers, practice managers, health systems ..... Variation in health care spending: target decision making, not geography. Institute of Medicine ( 2013) ...

Geographic variation in Medicare utilization and spending has been a frequent subject of discussion and analysis among ... spending growth rates, Medicare per capita spending for hospital services, home health care, and durable medical equipment fell from ...... Care Spending: Target Decision Making, Not Geography.

Aug 15, 2016 ... IMPORTANCE Interventions to address overuse of health care services may help reduce costs and improve care. ... MAIN OUTCOME AND MEASURES To assess variation in service use between physicians, we used a random effects ...... in Health Care. Spending: Target Decision Making, Not Geography.

combined with the geographic variation in PAC spending ... A Data Book: Health Care Spending and the Medicare Program. Washington, DC. .... sode of care. If actual spending is below the targeted level, the at-risk entity keeps the difference as savings. If actual costs exceed the target, the at-risk entity may. Care Redesign .

not achieving the level of performance they should. A range of policy options are available to promote the delivery of more appropriate levels of care. Hospital ..... in health care use. 'Soft touch' policies, such as public reporting and target-setting , can be catalysts for change. Public reporting of geographic variations in health ...

Mar 6, 2014 ... Dartmouth Institute focused attention on geographic variation in Medicare spending with publication of the first Dartmouth Atlas of Health Care in 1996. They demonstrated that marked differences in spending occur at both state and regional levels. The Dartmouth. Atlas evaluates regional spending by ...

Aug 3, 2016 ... 17. Newhouse J, Garber A, Bach P, et al. Variation in. Health Care Spending: Target Decision Making, Not. Geography. Institute of Medicine. July 24, 2013. http ://www.nationalacademies.org/hmd/Reports · /2013/Variation-in-Health-Care- Spending-Target- · Decision-Making-Not-Geography.aspx. Accessed.

Background: This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions ..... 6. Institute of Medicine. Variation in health care spending: target decision making, not geography. Washington, DC: The National Academies Press; 2013. 7. Gawande A. Overkill: an ...

Jan 4, 2016 ... population covered and regular and close access to healthcare facilities) and reward those plans that offer tailored ... tus, the investigation between small geographic variation and quality of care requires more attention. ..... Health-Care- Spending-Target-Decision-Making-Not-Geography.aspx. 23. Centers ...

Patient has some degree of mobility or. ADL impairment and cannot be managed at a lower level of care. ▫ Patient may or may not have cognitive deficits. ▫ Patient has not reached independent level to be managed at home setting. ▫ Patient is no longer making progress where they can benefit from skilled intervention.