Variations in hospital resource use for Medicare and privately insured populations in California

Health Aff (Millwood). 2008 Mar-Apr;27(2):w123-34. doi: 10.1377/hlthaff.27.2.w123. Epub 2008 Feb 12.


The amount of resources used in the care of chronically ill Medicare fee-for-service (FFS) patients varies widely across hospitals. We studied variations across California hospitals in hospital resource use for chronically ill patients covered by Medicare health maintenance organizations (HMOs) and private insurers and found substantial variation in all of the coverage groups studied. Resource-use measures based on Medicare FFS data often reflect patterns evident for other payers. Previous estimates of savings if the most resource-intensive hospitals more closely resembled less resource-intensive hospitals, based on just Medicare FFS spending, could underestimate possible savings when other payers are taken into account.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • California
  • Fee-for-Service Plans / statistics & numerical data*
  • Health Maintenance Organizations / statistics & numerical data*
  • Health Services Research
  • Hospitals / statistics & numerical data*
  • Humans
  • Insurance, Health / statistics & numerical data
  • Length of Stay
  • Medicare / economics*
  • United States