CHSE paper examines low-value care in Medicaid and commercial populations
05/31/16 Portland, Ore.
Services with limited clinical benefit associated with service area, not coverage category
Using data from Oregon's All Payer All Claims database, CHSE investigated the prevalence of "low-value care" patterns in the state, including several measures from the Choosing Wisely campaign. As reported in today's JAMA Internal Medicine, we found about 15% of Medicaid patients and 11% of commercially insured patients received a service with limited clinical benefit.
Perhaps surprisingly [spoiler alert], we found no association between insurance type or generosity of reimbursement and prevalence of low-value care. However, we did find correlations in both Medicaid and commercially insured groups of low-value care within primary care service areas, suggesting that low-value care may be related to local practice patterns.