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Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
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REFERENCES

Acumen, LLC. 2013a. Geographic variation in spending, utilization and quality: Medicare and Medicaid beneficiaries. Report commissioned by the IOM Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Institute of Medicine, Washington, DC. http://iom.edu/~/media/Files/Report%20Files/2013/Geographic-Variation/Sub-Contractor/Acumen-Medicare-Medicaid.pdf (accessed March 22, 2013).

———. 2013b. IOM study of geographic variation: Growth analysis. Report commissioned by the IOM Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Institute of Medicine, Washington, DC. http://iom.edu/~/media/Files/Report%20Files/2013/Geographic-Variation/Sub-Contractor/Acumen-Growth.pdf (accessed March 22, 2013).

AHRQ (Agency for Healthcare Research and Quality). 2013. Varieties of Measures in NQMC. http://qualitymeasures.ahrq.gov/tutorial/varieties.aspx (accessed March 18, 2013).

Alliance for Health Reform. 2013. Select community quality initiatives map. http://allhealth.org/community-initiatives.asp (accessed February 19, 2013).

Audet, A. M. 2012. Hospitals on the path to accountable care: Highlights from a 2011 national survey of hospital readiness to participate in an accountable care organization. Commonwealth Fund Issue Brief 22, August. http://www.commonwealthfund.org/~/media//Publications/Issue%20Brief/2012/Aug/1625_Audet_hospitals_path_accountable_care_ib_v2.pdf (accessed March 19, 2013).

Bach, P. B. 2010. A map to bad policy—hospital efficiency measures in the Dartmouth Atlas. New England Journal of Medicine 362(7):569-573; discussion p. 574.

Baicker, K., and A. Chandra. 2004. Medicare spending, the physician workforce, and beneficiaries’ quality of care. Health Affairs (Suppl):W184-W197.

Bernstein, J., J. D. Reschovsky, and C. White. 2011. Geographic variation in health care: Changing policy directions. Washington, DC: National Institute for Health Care Reform

Bertko, J. M. 2003. Variation in use of medical care services: Higher risk or higher consumption? Health Affairs (Millwood) (Suppl Web Exclusives):W3-363-365.

Berwick, D. M., and A. D. Hackbarth. 2012. Eliminating waste in US health care. JAMA 307(14):1513-1516.

CBO (Congressional Budget Office). 2008a. Budget options volume I: Health care. Washington, DC: CBO.

———. 2008b. Geographic variation in health care. Washington, DC: CBO.

Center for Research in Ambulatory Health Care Administration, Inc. 2000. Variations found during physician profiling study are difficult to explain: Grant results. Washington, DC: Robert Wood Johnson Foundation. http://pweb1.rwjf.org/reports/grr/020268s.htm#contents (accessed March 18, 2013).

Cherkin, D. C., R. A. Deyo, K. Wheeler, M. A. Ciol. 1994. Physician variation in diagnostic testing for low back pain. Who you see is what you get. Arthritis and Rheumatism 37(1):15-22.

CMS (Centers for Medicare & Medicaid Services). 2011. Claims-based quality measures. Washington, DC: CMS.

———. 2012a. Home health prospective payment system: Payment system fact sheet series. Washington, DC: CMS.

Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
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———. 2012b. Institute of Medicine (IOM) geographic variation data request: A methodological overview (December 2012 update). http://www.iom.edu/Activities/HealthServices/GeographicVariation/~/media/Files/Activity%20Files/HealthServices/GeographicVariation/CMSfiles/Dec-2012/Geographic%20Variation%20Methods%20Paper%20Dec%202012%20Update.pdf (last accessed March 18, 2013).

Dartmouth Institute for Health Policy and Clinical Practice. 2013a. The Dartmouth Atlas of Health Care: Data by region. http://www.dartmouthatlas.org/tools/faq/researchmethods.aspx (accessed February 14, 2013).

Dartmouth Institute for Health Policy and Clinical Practice. 2013b. The Dartmouth Atlas of Health Care: Understanding of the efficiency and effectiveness of the health care system. http://www.dartmouthatlas.org (accessed March 17, 2013).

DOJ (Department of Justice). 2013. Health care fraud and abuse control program: Annual report for fiscal year 2012. Washington, DC: DOJ.

Eisenberg, J. M. 2002. Physician utilization: The state of research about physicians’ practice patterns. Medical Care 40(11):1016-1035.

Fisher, E. S., D. E. Wennberg, T. A. Stukel, D. J. Gottlieb, F. L. Lucas, and E. L. Pinder. 2003a. The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Annals of Internal Medicine 138(4):273-287.

———. 2003b. The implications of regional variations in Medicare spending. Part 2: Health outcomes and satisfaction with care. Annals of Internal Medicine 138(4):288-298.

GAO (Government Accountability Office). 2009. Medicare physician services: Utilization trends indicate sustained beneficiary access with high and growing levels of service in some areas of the nation. Washington, DC: GAO.

Gold, M., G. Jacobson, A. Damico, and T. Neuman. 2011. Medicare Advantage enrollment market update. Melo Park, CA: The Henry J. Kaiser Family Foundation.

Goldman, T. R. 2012. Eliminating fraud and abuse. Health Affairs Health Policy Brief, July 31. http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=72 (accessed March 19, 2013).

Hahn, J. 2009. Memorandum. Evaluation of a value-based reform proposal for physician payment. Washington, DC: Congressional Research Service.

Hahn, J., and J. Mulvey. 2011. Medical physician payment updates and the sustainable growth rate (SGR) system Washington, DC: Congressional Research Service.

Hussey, P. S., S. Wertheimer, and A. Mehrotra. 2013. The association between health care quality and cost: A systematic review. Annals of Internal Medicine 158(1):27-34.

IOM (Institute of Medicine). 2001. Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

———. 2006. Performance measurement: Accelerating improvement. Washington, DC: The National Academies Press.

———. 2010. Leadership commitments to improve value in health care: Finding common ground: Workshop summary. Washington, DC: The National Academies Press.

———. 2011. Geographic adjustment in Medicare payment—phase I: Improving accuracy. Washington, DC: The National Academies Press.

———. 2012. Geographic adjustment in Medicare payment—phase II: Implications for access, quality, and efficiency. Washington, DC: The National Academies Press.

Kass, J. E., and J. S. Linehan. 2012. Fostering healthcare reform through a bifurcated model of fraud and abuse regulation. Journal of Health & Life Sciences Law 5(75):79-93.

Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×

Katz, P. 2012. Medicare Fraud Strike Force: Past, present, and future. Fraud and Abuse 1(1):1-4.

Keating, N. L., M. B. Landrum, B. E. Landon, J. Z. Ayanian, C. Borbas, and E. Guadagnoli. 2003. Measuring the quality of diabetes care using administrative data: Is there bias? Health Services Research 38(6 Pt 1):1529-1545.

The Lewin Group. 2013. Post-acute care spending analysis. Report commissioned by the IOM Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Institute of Medicine, Washington, DC. http://iom.edu/~/media/Files/Report%20Files/2013/Geographic-Variation/Sub-Contractor/The-Lewin-Group.pdf (accessed March 22, 1013).

Lucas, F. L., B. E. Sirovich, P. M. Gallagher, A. E. Siewers, and D. E. Wennberg. 2010. Variation in cardiologists’ propensity to test and treat: Is it associated with regional variation in utilization. Circulation: Cardiovascular Quality and Outcomes 3:253-260.

McGinnis, J. M., P. Williams-Russo, and J. R. Knickman. 2002. The case for more active policy attention to health promotion. Health Affairs 21(2):78-92.

McKethan, A., M. Shepard, S. L. Kocot, N. Brennan, M. Morrison, N. Nguyen, R. D. Williams II, and N. Cafarella. 2009. Improving quality and value in the U.S. health care system. Washington, DC: Bipartisan Policy Center.

MedPAC (Medicare Payment Advisory Commission). 2003. Variation and innovation in Medicare. Report to the Congress: June, 2003. Washington, DC: MedPAC.

———. 2007. Assessing alternatives to the sustainable growth rate system. Washington, DC: MedPAC.

———. 2009. Measuring regional variation in service use. Report to the Congress: December 2009. Washington, DC: MedPAC.

———. 2011. Regional variation in Medicare service use. Report to the Congress: January 2011. Washington, DC: MedPAC.

———. 2012. Report to the Congress: Medicare payment policy. Washington, DC: MedPAC.

Newhouse, J. 2012. Steps to reduce favorable risk selection in Medicare advantage largely succeeded, boding well for health insurance exchanges. Health Affairs 31(12):2618-2628.

Nicholas, L. H., K. M. Langa, T. J. Iwashyna, and D. R. Weir. 2011. Regional variation in the association between advance directives and end-of-life Medicare expenditures. JAMA 306(13):1447-1453.

OIG (Office of the Inspector General). 2012. CMS and Contractor Oversight of Home Health Agencies. Washington, DC: OIG.

OMB (Office of Management and Budget). 2010. 2010 standards for delineating metropolitan and micropolitan statistical areas; notice. Federal Register 75(123):37246-37252.

Partners HealthCare. 2012. Variation within a single group of primary care physicians at Partners HealthCare, Inc. Boston, MA: Partners HealthCare.

Salinsky, E. 2010. Governmental public health: An overview of state and local public health agencies. Washington, DC: National Health Policy Forum. http://www.nhpf.org/library/background-papers/BP77_GovPublicHealth_08-18-2010.pdf (accessed March 19, 2013).

Sebelius, K. 2010. Letter to the quality care coalition, March 20, 2010. Washington, DC: U.S. Department of Health and Human Services.

Sheiner, L. 2012. Why the geographic variation in health care spending can’t tell us much about the efficiency or quality of our health care system. Washington, DC: Federal Reserve Board.

Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×

Skinner, J., D. Staiger, and E.S. Fisher. 2010. Looking back, moving forward. New England Journal of Medicine 362(7):569-573; discussion p. 574.

Song, Y., J. Skinner, J. Bynum, J. Sutherland, J. E. Wennberg, and E. S. Fisher. 2010. Regional variations in diagnostic practices. New England Journal of Medicine 363:45-53.

Tang, P. C., M. Ralston, M. F. Arrigotti, L. Qureshi, and J. Graham. 2007. Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: Implications for performance measures. Journal of the American Medical Informatics Association 14:10-15.

University of Pittsburgh. 2013. Geographic variation in health care spending and promotion of high-value health care Medicare Part D. Report commissioned by the IOM Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Institute of Medicine, Washington, DC. http://iom.edu/~/media/Files/Report%20Files/2013/Geographic-Variation/Sub-Contractor/University-of-Pittsburgh.pdf (accessed March 22, 2013).

Wennberg, J. E., and M. M. Cooper, eds. 1998. The Dartmouth Atlas of Health Care. Chicago, IL: American Hospital Publishing, Inc.

Wennberg, J. E., E. S. Fisher, and J. S. Skinner. 2002. Geography and the debate over Medicare reform. Health Affairs (Web exclusive):W96-W114.

Wennberg, J. E., E. S. Fisher, D. Goodman, and J. S. Skinner. 2008. Tracking the care of patients with severe chronic illness: The Dartmouth Atlas of Health Care 2008. Hanover, NH: The Dartmouth Institute for Health Policy and Clinical Practice.

Zhang, Y., K. Baicker, and J. P. Newhouse. 2010a. Geographic variation in Medicare drug spending. New England Journal of Medicine 363(5):405-409.

———. 2010b. Geographic variation in the quality of prescribing. New England Journal of Medicine 363(21):1985-1988.

Zuckerman, S., T. Waidmann, R. Berenson, and J. Hadley. 2010. Clarifying sources of geographic differences in Medicare spending. New England Journal of Medicine 363(1):54-62.

Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×
Page 31
Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×
Page 32
Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×
Page 33
Suggested Citation:"REFERENCES." Institute of Medicine. 2013. Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care: Preliminary Committee Observations. Washington, DC: The National Academies Press. doi: 10.17226/18308.
×
Page 34
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Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Health Care: Preliminary Committee Observations is designed to provide the committee's preliminary observations for the 113th Congress as it considers further Medicare reform. This report contains only key preliminary observations related primarily to the committee's commissioned analyses of Medicare Parts A (Hospital Insurance program), B (Supplementary Medical Insurance program) and D (outpatient prescription drug benefit), complemented by other empirical investigations. It does not contain any observations related to the committee's commissioned analyses of the commercial insurer population, Medicare Advantage, or Medicaid, which will be presented in the committee's final report after completion of quality-control activities.

This interim report excludes conclusions or recommendations related to the committee's consideration of the geographic value index or other payment reforms designed to promote highvalue care. Additional analyses are forthcoming, which will influence the committee's deliberations. These analyses include an exploration of how Medicare Part C (Medicare Advantage) and commercial spending, utilization, and quality vary compared with, and possibly are influenced by, Medicare Parts A and B spending, utilization, and quality. The committee also is assessing potential biases that may be inherent to Medicare and commercial claims-based measures of health status. Based on this new evidence and continued review of the literature, the committee will confirm the accuracy of the observations presented in this interim report and develop final conclusions and recommendations, which will be published in the committee's final report.

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