AIMC Topic: Medicare

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Assessment of utilization efficiency using machine learning techniques: A study of heterogeneity in preoperative healthcare utilization among super-utilizers.

American journal of surgery
INTRODUCTION: In the United States, 5% of patients represent up to 55% of all health care costs. This study sought to define healthcare utilization patterns among super-utilizers, as well as assess possible variation in patient outcomes.

Prevalence of Financial Considerations Documented in Primary Care Encounters as Identified by Natural Language Processing Methods.

JAMA network open
IMPORTANCE: Quantifying patient-physician cost conversations is challenging but important as out-of-pocket spending by US patients increases and patients are increasingly interested in discussing costs with their physicians.

Assessment of Machine Learning vs Standard Prediction Rules for Predicting Hospital Readmissions.

JAMA network open
IMPORTANCE: Hospital readmissions are associated with patient harm and expense. Ways to prevent hospital readmissions have focused on identifying patients at greatest risk using prediction scores.

Machine Learning Accurately Predicts Short-Term Outcomes Following Open Reduction and Internal Fixation of Ankle Fractures.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
Ankle fractures are common orthopedic injuries with favorable outcomes when managed with open reduction and internal fixation (ORIF). Several patient-related risk factors may contribute to poor short-term outcomes, and machine learning may be a valua...

Natural Language Processing-Identified Problem Opioid Use and Its Associated Health Care Costs.

Journal of pain & palliative care pharmacotherapy
Use of prescription opioids and problems of abuse and addiction have increased over the past decade. Claims-based studies have documented substantial economic burden of opioid abuse. This study utilized electronic health record (EHR) data to identify...

Economic benefits of microprocessor controlled prosthetic knees: a modeling study.

Journal of neuroengineering and rehabilitation
BACKGROUND: Advanced prosthetic knees allow for more dynamic movements and improved quality of life, but payers have recently started questioning their value. To answer this question, the differential clinical outcomes and cost of microprocessor-cont...

Characterizing Autoimmune Disease-associated Diffuse Large B-cell Lymphoma in a SEER-Medicare Cohort.

Clinical lymphoma, myeloma & leukemia
BACKGROUND: Severe immune dysregulation such as seen in autoimmune (AI) disease is known to act as a significant risk factor for diffuse large B-cell lymphoma (DLBCL). However, little is known about the demographics or clinical outcomes of DLBCL that...