Key PointsQuestionWhat is the association between growth in Medicare expenditures and decreased mortality between January 1, 1999, and June 30, 2014? FindingsIn this cross-sectional analysis study of Medicare beneficiaries with acute myocardial infarction, reductions in mortality varied by hospital and were associated with diffusion of cost-effective care, such as early percutaneous coronary interventions, rather than overall spending. MeaningIncreased adoption of cost-effective care at the hospital level could improve patient outcomes and, if accompanied by cuts in cost-ineffective care (whether in the acute care or postacute care setting), may also reduce expenditures.
JAMA Cardiology – American Medical Association
Published: Feb 20, 2018
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