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January 1, 2016Health Economics & Outcome Research Open AccessOpen Access

Medicare and Private Insurance Variations in New Medical Technology: The Case of Drug Eluting Stents

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Why the study?

Does insurance type (Medicare vs private) affect the geographic and hospital variation in the use of drug eluting stents during PCI?

Population

390,649 discharges with percutaneous coronary intervention procedures involving a cardiac stent from 11 US…

Comparison

Medicare insurance vs Private insurance

Design

Cohort

Authors

EBEsra Eren BayindirUniversität HamburgPMPinar Karaca MandicUniversity of Minnesota

Discussion

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Overview

Similar DES use variations across payers support Medicare-led diffusion; leaves open drivers of 2005 convergence without practice change.

Structured PICO

Does insurance type (Medicare vs private) affect the geographic and hospital variation in the use of drug eluting stents during PCI?

P
Population
390,649 discharges with percutaneous coronary intervention (PCI) procedures involving a cardiac stent (237,991 Medicare, 152,658 private insurance) from 11 US states (2004-2005)
I
Intervention
Medicare insurance
C
Comparator
Private insurance
O
Outcome
Use of a drug eluting stent during the PCI

Private insurance closely follows the lead of Medicare in terms of medical technology coverage and reimbursement, as evidenced by similar geographic and hospital variations in the diffusion of drug-eluting stents.

Cite This Study

Bayindir et al. (2016) studied this question.

synapsesocial.com/papers/6a0896d0ae7f011b61ddf2cdhttps://doi.org/10.4172/2471-268x.1000114
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