What do you think using small area studies based on large


Case - Small Area Variations

DISCUSSION QUESTIONS

1. What do you think using small area studies based on large Medicare data bases to identify outliers like cardi-ology treatment in Elyria, Ohio?

2. Salaried cardiologists at Kaiser Permanente in northern Ohio tended to use drugs more and cardiac procedures at a rate slightly below the national average. Analyze the role that differing financial incentives might be playing here.

3. If you were Anthem Blue Cross and Blue Shield in Ohio, what studies would you conduct to attempt to explain and/or deal with these striking local differences in treatments and costs.

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Dissertation: What do you think using small area studies based on large
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