{"id":"https://openalex.org/W2993698972","doi":null,"title":"The Correlation Between Patient Comorbidities and Bundled Payment Expenditures","display_name":"The Correlation Between Patient Comorbidities and Bundled Payment Expenditures","publication_year":2019,"publication_date":"2019-03-27","ids":{"openalex":"https://openalex.org/W2993698972","mag":"2993698972"},"language":"en","primary_location":{"id":"pmh:oai:dash.harvard.edu:1/41973473","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101570925","display_name":"J.D. Anderson","orcid":"https://orcid.org/0000-0002-4972-6465","observed_orcids":["https://orcid.org/0000-0002-4972-6465"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"J.D. Anderson","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-4972-6465","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5101570925"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9413999915122986,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9413999915122986,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0406000018119812,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.004000000189989805,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9599999785423279},{"id":"https://openalex.org/keywords/bundled-payment","display_name":"bundled payment","score":0.8700000047683716},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6830000281333923},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.6060000061988831},{"id":"https://openalex.org/keywords/clinical-risk-score","display_name":"clinical risk score","score":0.5809999704360962},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.47099998593330383},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.6779999732971191},{"id":"https://openalex.org/keywords/joint-replacement","display_name":"joint replacement","score":0.4909999966621399}],"concepts":[{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.5169386267662048},{"id":"https://openalex.org/C117220453","wikidata":"https://www.wikidata.org/wiki/Q5172842","display_name":"Correlation","level":2,"score":0.4959186017513275},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38086485862731934},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.3606796860694885},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.34294429421424866},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.17498433589935303},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.123761385679245},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:dash.harvard.edu:1/41973473","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},{"id":"mag:2993698972","doi":null,"is_oa":false,"landing_page_url":"https://dash.harvard.edu/handle/1/41973473","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:dash.harvard.edu:1/41973473","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:41973473","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2993698972.pdf","grobid_xml":"https://content.openalex.org/works/W2993698972.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1502930520","https://openalex.org/W1600652462","https://openalex.org/W1967834969","https://openalex.org/W1970228035","https://openalex.org/W2006341561","https://openalex.org/W2045030413","https://openalex.org/W2057780602","https://openalex.org/W2061326496","https://openalex.org/W2073417639","https://openalex.org/W2077695624","https://openalex.org/W2100008967","https://openalex.org/W2107205633","https://openalex.org/W2111259273","https://openalex.org/W2138346186","https://openalex.org/W2141344358","https://openalex.org/W2163519273","https://openalex.org/W2169192944","https://openalex.org/W2521854653"],"related_works":["https://openalex.org/W1980577320","https://openalex.org/W170193717","https://openalex.org/W2973114108","https://openalex.org/W1600652462","https://openalex.org/W2059386225","https://openalex.org/W1967358323","https://openalex.org/W6939384232","https://openalex.org/W2221749377","https://openalex.org/W2796570879","https://openalex.org/W1978086462"],"abstract_inverted_index":{"Abstract\\nTITLE:":[0],"The":[1,123,158,203],"Correlation":[2],"Between":[3],"Patient":[4],"Comorbidities":[5],"and":[6,30,56,118,127,209],"Bundled":[7],"Payment\\nExpenditures\\nJordan":[8],"Anderson,":[9],"Anamika":[10],"Chaudhuri,":[11],"Timothy":[12],"Ferris,":[13],"Sree":[14],"Chaguturu\\nPurpose:":[15],"Episode-based":[16],"payments":[17],"have":[18],"been":[19],"developed":[20],"as":[21],"an":[22,224],"alternative":[23],"payment":[24],"methodology\\nto":[25],"reduce":[26],"unnecessary":[27],"healthcare":[28],"spending":[29],"improve":[31],"outcomes":[32],"for":[33,61,71,134,168],"acute":[34,44,215],"episodes":[35,45,76,216],"of":[36,46,73,77,100,165,186,217],"care.":[37],"In\\nthis":[38],"study":[39],"we":[40],"examine":[41],"eleven":[42],"different":[43,169,214],"care":[47,101],"to":[48,111,142,222],"determine":[49],"the":[50,74,85,113,132,143,163,178,199],"correlation\\nbetween":[51],"a":[52,62,80,96,184],"patient\u2019s":[53],"comorbidity":[54],"burden":[55],"their":[57],"total":[58],"medical":[59,91,121],"expenditures":[60,129],"longitudinal\\n90-day":[63],"episode-of-care.\\nMethods:":[64],"Using":[65],"historical":[66],"claims":[67],"data,":[68],"patients":[69],"admitted":[70],"one":[72],"defined":[75],"care\\nwere":[78],"assigned":[79],"clinical":[81],"risk":[82],"score":[83,117,182,208],"using":[84],"Elixhauser":[86],"Van-Walraven":[87],"Comorbidity":[88],"Index\\n(EVCI).":[89],"Total":[90],"expenses":[92],"were":[93,220],"summed":[94],"over":[95],"longitudinal":[97,119,210],"90-day":[98,120,211],"episode":[99,128],"using\\nthe":[102],"Medicare":[103],"grouping":[104],"methodology.":[105],"A":[106],"correlation":[107,124,145,204],"analysis":[108],"was":[109],"used":[110],"assess":[112],"association\\nbetween":[114],"patient":[115,206],"EVCI":[116,126,166,181,201,207],"expenditures.\\nResults:":[122],"between":[125,205],"ranged":[130],"from":[131],"highest\\ncorrelation":[133],"major":[135],"bowel":[136],"surgery":[137,193],"(R=0.22;":[138],"p":[139,155],"<":[140],"0.0001)":[141],"lowest":[144],"value":[146],"for\\ndouble":[147],"joint":[148],"replacement":[149],"lower":[150],"extremity":[151],"(R=":[152],"-0.05":[153],";":[154],"=":[156],"0.62).":[157],"results":[159],"also":[160],"showed\\nvariability":[161],"in":[162],"range":[164],"scores":[167],"conditions.":[170],"Congestive":[171],"heart":[172],"failure":[173],"(EVCI:\\n23.19;":[174],"SD":[175,196],"12.25)":[176],"had":[177,198],"highest":[179],"average":[180],"indicating":[183],"high-degree":[185],"comorbidity\\namongst":[187],"patients.":[188],"Whereas":[189],"cervical":[190],"spinal":[191],"fusion":[192],"(EVCI:":[194],"7.38;":[195],"11.12)":[197],"lowest\\naverage":[200],"score.\\nConclusions:":[202],"expenditures\\nvaried":[212],"across":[213],"care,":[218],"but":[219],"found":[221],"demonstrate":[223],"overall":[225],"weak\\ncorrelation.":[226]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2019-12-13T00:00:00"}