Cost and efficiency in treating high-cost Medicare beneficiaries: The role of physician practice and health system factors - cost solicitation

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.Under this project, the researchers will examine key physician practice and market characteristics that may contribute to high costs and inefficient care in the Medicare program. The study is comprised of three phases. In phase one, they will analyze the treatment of high-cost Medicare beneficiaries in order to identify key physician, practice, and market characteristics associated with differences between actual and predicted Medicare payments and medical care use. In phase two, they will examine whether the factors associated with greater than predicted resource use affect high-cost beneficiaries' health outcomes. Finally, the researchers will examine possible sources of geographic cost variations for high-cost beneficiaries and the extent to which these variations reflect differences in patient characteristics or supply-related factors and practice patterns of providers in a particular region. The objective of this project is to identify potential policy levers that can influence cost effectiveness in the delivery of medical care to high-cost Medicare patients.

Grant Details

Amount Awarded $338,826.00

Awarded on: 2/5/2008

Time frame: 3/1/2008 - 3/15/2012

Grant Number: 64006


Mathematica Policy Research, Inc.

600 Alexander Park
P.O. Box 2393
Princeton, 08543-2393


James D. Reschovsky
Project Director