Comorbidity Assessment Is Uneven Across Veterans Health Administration and Medicare for the Same Patient: Implications for Risk Adjustment.
Med Care
; 58(8): 717-721, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-32692137
ABSTRACT
OBJECTIVE:
Compare comorbidity identification in Medicare and Veterans Health Administration (VA) data for the purposes of risk adjustment. DATA SOURCES Analysis of Medicare and VA datasets for dually-enrolled Veterans receiving care in both settings, fiscal years 2010-2014. STUDYDESIGN:
A retrospective analysis of administrative data for a national sample of cancer decedents. DATA EXTRACTIONMETHODS:
Comorbidities were evaluated using Elixhauser and Charlson coding algorithms. PRINCIPALFINDINGS:
Clinical comorbidities were more likely to be recorded in Medicare than in VA datasets. Of 42 comorbidities, 36 (86%) were recorded at a different frequency. For example, congestive heart failure was recorded for 22.0% of patients in Medicare data and for 11.3% of patients in VA data (P<0.001).CONCLUSION:
There are large differences in comorbidity assessment across VA and Medicare administrative data for the same patient, posing challenges for risk adjustment.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comorbidade
/
Medicare
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United States Department of Veterans Affairs
/
Risco Ajustado
/
Definição da Elegibilidade
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Med Care
Ano de publicação:
2020
Tipo de documento:
Article