A COMMUNITY PHYSICAL ACTIVITY PROGRAM: LINKAGE WITH MEDICARE CLAIMS FOR COST ANALYSES

2.50
Hdl Handle:
http://hdl.handle.net/10755/211677
Type:
Research Study
Title:
A COMMUNITY PHYSICAL ACTIVITY PROGRAM: LINKAGE WITH MEDICARE CLAIMS FOR COST ANALYSES
Abstract:
Economic evaluation of community-based healthy aging interventions is more important than ever with the Patient Protection and Affordable Care Act. EnhanceFitness (EF), a nationally disseminated, evidence-based group physical activity program is a model exemplar of such community programs in that it has systematically collected prospective data on all participants since 2001. We previously found significant reductions in health expenditures with EF participation in members of a Medicare Advantage plan. The aim of this retrospective matched cohort case-control study was to link data from EF with Medicare claims and to explore differences in all-cause hospitalizations between EF participants and matched controls. The sample included individuals who participated in EF from 2001-2004 and were enrolled in fee-for-service Medicare for at least 24 months after the index EF enrollment date.  Exact matching of records was performed based on gender, date of birth, and zipcode data obtained from the national EF database with Medicare denominator files. Up to three Medicare beneficiaries who never participated in EF and matched on age, gender and zipcode were randomly selected based on bytes 6-9 of the Health Insurance Claim identifier to serve as non-participant controls for each EF participant.  Data linkage was successful for 85% of the records.  Preliminary analyses showed that all-cause hospitalizations between EF participants and controls were not significantly different at 1 and 2 years post EF enrollment.  In summary, it is feasible to link participation data from a community-based physical activity program with Medicare claims data using limited identifying information—providing a potential model for large scale economic evaluations of other community wellness programs as part of health care reform efforts.
Keywords:
Aging; Interventions
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4423
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleA COMMUNITY PHYSICAL ACTIVITY PROGRAM: LINKAGE WITH MEDICARE CLAIMS FOR COST ANALYSESen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211677-
dc.description.abstractEconomic evaluation of community-based healthy aging interventions is more important than ever with the Patient Protection and Affordable Care Act. EnhanceFitness (EF), a nationally disseminated, evidence-based group physical activity program is a model exemplar of such community programs in that it has systematically collected prospective data on all participants since 2001. We previously found significant reductions in health expenditures with EF participation in members of a Medicare Advantage plan. The aim of this retrospective matched cohort case-control study was to link data from EF with Medicare claims and to explore differences in all-cause hospitalizations between EF participants and matched controls. The sample included individuals who participated in EF from 2001-2004 and were enrolled in fee-for-service Medicare for at least 24 months after the index EF enrollment date.  Exact matching of records was performed based on gender, date of birth, and zipcode data obtained from the national EF database with Medicare denominator files. Up to three Medicare beneficiaries who never participated in EF and matched on age, gender and zipcode were randomly selected based on bytes 6-9 of the Health Insurance Claim identifier to serve as non-participant controls for each EF participant.  Data linkage was successful for 85% of the records.  Preliminary analyses showed that all-cause hospitalizations between EF participants and controls were not significantly different at 1 and 2 years post EF enrollment.  In summary, it is feasible to link participation data from a community-based physical activity program with Medicare claims data using limited identifying information—providing a potential model for large scale economic evaluations of other community wellness programs as part of health care reform efforts.en_GB
dc.subjectAgingen_GB
dc.subjectInterventionsen_GB
dc.date.available2012-02-20T12:07:54Z-
dc.date.issued2012-02-20T12:07:54Z-
dc.date.accessioned2012-02-20T12:07:54Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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