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Predictive modeling of U.S. health care spending in late life
Author(s) -
Liran Einav,
Amy Finkelstein,
Sendhil Mullainathan,
Ziad Obermeyer
Publication year - 2018
Publication title -
science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 12.556
H-Index - 1186
eISSN - 1095-9203
pISSN - 0036-8075
DOI - 10.1126/science.aar5045
Subject(s) - quarter (canadian coin) , ex ante , demography , interpretation (philosophy) , economics , demographic economics , health care , health spending , actuarial science , gerontology , medicine , geography , economic growth , sociology , computer science , macroeconomics , health insurance , archaeology , programming language
End-of-life health care spending In the United States, one-quarter of Medicare spending occurs in the last 12 months of life, which is commonly seen as evidence of waste. Einavet al. used predictive modeling to reassess this interpretation. From detailed Medicare claims data, the extent to which spending is concentrated not just on those who die, but on those who are expected to die, can be estimated. Most deaths are unpredictable; hence, focusing on end-of-life spending does not necessarily identify “wasteful” spending.Science , this issue p.1462

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