What question did this study set out to answer?

The aim is to assess how effectively Medicare claims data can identify patients receiving nursing home care, using the Minimum Data Set as the comparison standard.

October 22, 2008Medical Care

Ability of Medicare Claims Data to Identify Nursing Home Patients

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The aim is to assess how effectively Medicare claims data can identify patients receiving nursing home care, using the Minimum Data Set as the comparison standard.
Cross-sectional study utilizing the Ohio Cancer-Aging Linked Database.
Focused on patients aged 65 and older diagnosed with breast, prostate, or colorectal cancer from 1997-2001.
Analysis was limited to fee-for-service patients receiving nursing home care in 2002, with a look-back period to November 2001.
Sensitivity of claims data to identify nursing home patients was 88.1%.
Positive predictive value for identifying patients through claims data was 83.9%.
Findings suggest carrier files could be a viable source for identifying nursing home patients.

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Implication

Cross-sectional study evaluates Medicare claims to identify nursing home patients, suggesting potential for improved outcome studies.

Cite This Study

Koroukian et al. (2008) studied this question.

synapsesocial.com/papers/6a72c16bac440176ef2ad5d3 https://doi.org/10.1097/mlr.0b013e31817925d2

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Ability of Medicare Claims Data to Identify Nursing Home Patients

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Discussion

Implication

Cite This Study

Ability of Medicare Claims Data to Identify Nursing Home Patients

Key Points

Discussion

Implication

Cite This Study

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