Ontology highlight
ABSTRACT: Objective
To compare methods of price measurement in health care markets.Data sources
Truven Health Analytics MarketScan commercial claims.Study design
We constructed medical prices indices using three approaches: (1) a "sentinel" service approach based on a single common service in a specific clinical domain, (2) a market basket approach, and (3) a spending decomposition approach. We constructed indices at the Metropolitan Statistical Area level and estimated correlations between and within them.Principal findings
Price indices using a spending decomposition approach were strongly and positively correlated with indices constructed from broad market baskets of common services (r > 0.95). Prices of single common services exhibited weak to moderate correlations with each other and other measures.Conclusions
Market-level price measures that reflect broad sets of services are likely to rank markets similarly. Price indices relying on individual sentinel services may be more appropriate for examining specialty- or service-specific drivers of prices.
SUBMITTER: Neprash HT
PROVIDER: S-EPMC4693848 | biostudies-literature | 2015 Dec
REPOSITORIES: biostudies-literature
Neprash Hannah T HT Wallace Jacob J Chernew Michael E ME McWilliams J Michael JM
Health services research 20150316 6
<h4>Objective</h4>To compare methods of price measurement in health care markets.<h4>Data sources</h4>Truven Health Analytics MarketScan commercial claims.<h4>Study design</h4>We constructed medical prices indices using three approaches: (1) a "sentinel" service approach based on a single common service in a specific clinical domain, (2) a market basket approach, and (3) a spending decomposition approach. We constructed indices at the Metropolitan Statistical Area level and estimated correlation ...[more]