Health claims data as a strategy and tool in disease management

H Solz, K Gilbert - The Journal of ambulatory care management, 2001 - journals.lww.com
… is to demonstrate how a health claims data analytic engine can … claims data do exist. Even
with systems that look for errors in the data, the quality of the input data can certainly impact

Examples from administrative claims data and electronic health records

E Hasan - Pragmatic Randomized Clinical Trials, 2021 - Elsevier
… financial and resource utilization impact of an intervention, claims data may form the primary
… While randomization deviates from routine medical practice, it provides an advantageous …

The impact of clinical vs administrative claims coding on hospital risk‐adjusted outcomes

EC O'Brien, S Li, L Thomas, TY Wang… - Clinical …, 2018 - Wiley Online Library
… Comparing provider-specific outcomes has become central to contemporary medical practice,
yet such comparisons depend on appropriate risk adjustment to account for differences in …

Using claims data for evidence generation in managed entry agreements

A Brandes, L Schwarzkopf… - International journal of …, 2016 - cambridge.org
… This study suggests that routinely collected claims data are a useful data source to address
… utilization or the budget impact of a medical technology in clinical practice, this aspect of …

Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009-2014

C Rhee, R Dantes, L Epstein, DJ Murphy, CW Seymour… - Jama, 2017 - jamanetwork.com
… This study also has several limitations. First, EHR-based surveillance may be affected by
differences in clinical practice between clinicians and hospitals as well as changes over time. …

External validation of the In‐hospital Mortality for PulmonAry embolism using Claims daTa (IMPACT) multivariable prediction rule

CG Kohn, WF Peacock, GJ Fermann… - … of Clinical Practice, 2016 - Wiley Online Library
claims data would be desirable to outcomes researchers to … analysis was to externally
validate the IMPACT prediction rule for in-hospital PE mortality using the Humana inpatient claims

Further validation that claims data are a useful tool for epidemiologic research on hypertension

B Tessier-Sherman, D Galusha, OA Taiwo, L Cantley… - BMC Public Health, 2013 - Springer
… few of those studies have had … study is to assess the validity of claims data in identifying
hypertension cases and thereby clarify the benefits and limitations of using those data in studies

Burden of atopic dermatitis in the United States: analysis of healthcare claims data in the commercial, Medicare, and Medi-Cal databases

S Shrestha, R Miao, L Wang, J Chao, H Yuce… - Advances in …, 2017 - Springer
… In addition, we examined the impact of AD disease severity … study compared with 92–99%
in the current study. It should be noted that the NHWS study was based on self-reported data

Potential and pitfalls of using large administrative claims data to study the safety of osteoporosis therapies

J Zhang, H Yun, NC Wright, M Kilgore, KG Saag… - Current rheumatology …, 2011 - Springer
… , administrative claims data available for observational research … These data reflect routine
clinical practice in which … applied in studies using claims data to assess adverse effects of …

[PDF][PDF] Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study

JC Javitt, G Steinberg, T Locke, JB Couch… - Am J Manag …, 2005 - academia.edu
clinical decision support systems3 to detect and alert physicians to potential medical errors
and deviations from best medical practices… the effect of any specific clinical recommendation, …