Study Results from University of Pennsylvania in the Area of Managed Care Reported (Grading Hospitals Using Multivariate Matching): Managed Care

2025 OCT 03 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on Managed Care have been presented. According to news reporting originating from Philadelphia, Pennsylvania, by NewsRx correspondents, research stated, “To improve upon existing hospital grading systems, we developed a new report card based on multivariate matching. Matched cohorts. For each focal hospital patient, we match 10 control patients treated at ‘well-resourced’ hospitals with excellent hospital characteristics from across the nation, and 10 control patients treated at ‘typical’ hospitals, on over 300 patient characteristics from Medicare Claims.”

Our news editors obtained a quote from the research from the University of Pennsylvania, “Grades were based on outcome differences between patients at the focal hospital and their matched controls. We also create an ‘Analogous’ match that is comprised of multiple control patients matched to each focal hospital patient with similar patient characteristics who were treated at hospitals with similar characteristics to the focal hospital, answering the question, ‘How would patients who looked like my patients and who were treated at hospitals like my hospital fare, compared to how my patients fared.’ We also report outcomes by multimorbidity status. Medicare admissions from 2017 to 2019 for heart attack, heart failure and pneumonia. To illustrate our methods, we report on 4 hospitals in the same region: a well-known ‘Flagship’ teaching Hospital, an Affiliated Hospital within the same flagship system, a Poor-Performing Hospital that is not part of the flagship system, and a Small Hospital with unstable estimates. Thirty-day mortality and revisit rates. Report cards for each example hospital.”

According to the news editors, the research concluded: “Matched report cards allow users to better benchmark hospitals and see those types of patients where a specific hospital is performing poorly compared to other hospitals treating very similar patients.”

This research has been peer-reviewed.

For more information on this research see: Grading Hospitals Using Multivariate Matching. Medical Care, 2025. Medical Care can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Medical Care - http://journals.lww.com/lww-medicalcare/pages/default.aspx)

The news editors report that additional information may be obtained by contacting Paul R. Rosenbaum, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. Additional authors for this research include Jeffrey H. Silber, Joseph G. Reiter, Omar I. Ramadan, Siddharth Jain, Alexander S. Hill, Katherine Brumberg and Lee A. Fleisher.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/mlr.0000000000002188. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal Medical Care is: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA.

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