Ranking of Unwarranted Variations in Healthcare Treatments

Herry Moes, Ruud Brekelmans, Herbert Hamers, F. Hasaart

Research output: Working paperDiscussion paperOther research output

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Abstract

In this paper, we introduce a framework designed to identify and rank possible unwarranted variation of treatments in healthcare. The innovative aspect of this framework is a ranking procedure that aims to identify healthcare institutions where unwarranted variation is most severe, and diagnosis treatment combinations which appear to be the most sensitive to unwarranted variation. By adding a ranking procedure to our framework, we have taken our research a step beyond the existing literature. This ranking procedure is intended to assist health insurance companies in their search for violations, and to help find them more quickly, enabling more effective corrective and preventive actions on behalf of the healthcare institutions concerned.
Original languageEnglish
Place of PublicationTilburg
PublisherCentER, Center for Economic Research
Number of pages20
Volume2017-004
Publication statusPublished - 2 Feb 2017

Publication series

NameCentER Discussion Paper
Volume2017-004

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Health insurance
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Keywords

  • unwarranted variation
  • practice variation
  • upcoding
  • diagnosis-related group
  • healthcare data
  • health insurance

Cite this

Moes, H., Brekelmans, R., Hamers, H., & Hasaart, F. (2017). Ranking of Unwarranted Variations in Healthcare Treatments. (CentER Discussion Paper; Vol. 2017-004). Tilburg: CentER, Center for Economic Research.
Moes, Herry ; Brekelmans, Ruud ; Hamers, Herbert ; Hasaart, F. / Ranking of Unwarranted Variations in Healthcare Treatments. Tilburg : CentER, Center for Economic Research, 2017. (CentER Discussion Paper).
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Moes, H, Brekelmans, R, Hamers, H & Hasaart, F 2017 'Ranking of Unwarranted Variations in Healthcare Treatments' CentER Discussion Paper, vol. 2017-004, CentER, Center for Economic Research, Tilburg.

Ranking of Unwarranted Variations in Healthcare Treatments. / Moes, Herry; Brekelmans, Ruud; Hamers, Herbert; Hasaart, F.

Tilburg : CentER, Center for Economic Research, 2017. (CentER Discussion Paper; Vol. 2017-004).

Research output: Working paperDiscussion paperOther research output

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Moes H, Brekelmans R, Hamers H, Hasaart F. Ranking of Unwarranted Variations in Healthcare Treatments. Tilburg: CentER, Center for Economic Research. 2017 Feb 2. (CentER Discussion Paper).