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Processing and validation of inpatient Medicare Advantage data for use in hospital outcome measures.

Kelly A KyankoKashika M SahayYongfei WangMichelle SchreiberMelissa HagerRaquel MyersWanda JohnsonJing ZhangBing-Jie YenLisa G SuterElizabeth W TricheShu-Xia Li
Published in: Health services research (2024)
Inpatient MA data are feasible for use in CMS claims-based hospital outcome measures. We recommend prioritizing hospital-submitted over MAO-submitted claims for analyses. Monitoring, data audits, and ongoing policies to improve the quality of MA data are important approaches to address potential missing data and errors.
Keyphrases
  • electronic health record
  • big data
  • healthcare
  • adverse drug
  • mental health
  • emergency department
  • health insurance
  • machine learning