Researchers from University of Michigan Report New Studies and Findings in the Area of Medicare and Medicaid (Regional Variation in Primary Care…

Insurance Weekly News

Researchers from University of Michigan Report New Studies and Findings in the Area of Medicare and Medicaid (Regional Variation in Primary Care Involvement at the End of Life)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Fresh data on Medicare and Medicaid are presented in a new report. According to news reporting originating in Ann Arbor, Michigan, by VerticalNews journalists, research stated, "Variation in end-of-life care in the United States is frequently driven by the health care system. We assessed the association of primary care physician involvement at the end of life with end-of-life care patterns."

The news reporters obtained a quote from the research from the University of Michigan, "We analyzed 2010 Medicare Part B claims data for US hospital referral regions (HRRs). The independent variable was the ratio of primary care physicians to specialist visits in the last 6 months of life. Dependent variables included the rate of hospital deaths, hospital and intensive care use in the last 6 months of life, percentage of patients seen by more than 10 physicians, and Medicare spending in the last 2 years of life. Robust linear regression analysis was used to measure the association of primary care physician involvement at the end of life with the outcome variables, adjusting for regional characteristics. We assessed 306 HRRs, capturing 1,107,702 Medicare Part B beneficiaries with chronic disease who died. The interquartile range of the HRR ratio of primary care to specialist end-of-life visits was 0.77 to 1.21. HRRs with high vs low primary care physician involvement at the end of life had significantly different patient, population, and health system characteristics. Adjusting for these differences, HRRs with the greatest primary care physician involvement had lower Medicare spending in the last 2 years of life ($65,160 vs $69,030; P = .003) and fewer intensive care unit days in the last 6 months of life (2.90 vs 4.29; P< .001), but also less hospice enrollment (44.5% of decedents vs 50.4%; P = .004)."

According to the news reporters, the research concluded: "Regions with greater primary care physician involvement in end-of-life care have overall less intensive end-of-life care."

For more information on this research see: Regional Variation in Primary Care Involvement at the End of Life. Annals of Family Medicine, 2017;15(1):63-67. Annals of Family Medicine can be contacted at: Annals Family Medicine, 11400 Tomahawk Creek Parkway, Leawood, KS 66211-2672, USA.

Our news correspondents report that additional information may be obtained by contacting C.K. Ankuda, Univ Michigan Hlth Syst, Robert Wood Johnson Clin Scholars Program Family, Ann Arbor, MI, United States. Additional authors for this research include S.M. Petterson, P. Wingrove and A.W. Bazemore.

Keywords for this news article include: Ann Arbor, Michigan, United States, North and Central America, Medicare and Medicaid, Health Policy, Medicare, Hospital, University of Michigan.