Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Standards of Care II01:19

Standards of Care II

1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

2.0K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
2.0K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

3.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.8K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

852
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
852
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Medicare Advantage's Provision of Expanded Supplemental Benefits and Acute Care Utilization.

Health services research·2026
Same author

Medicare Advantage Has Lower Resource Use and Better Quality of Care than Traditional Medicare.

American journal of health economics·2025
Same author

Potentially Inappropriate Medication Use Among Patients With Dementia in Traditional Medicare and Medicare Advantage.

Medical care·2025
Same author

Use of Low-Value Cancer Treatments in Medicare Advantage Versus Traditional Medicare.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology·2025
Same author

Racial and Ethnic Differences in Potentially Inappropriate Medication Use Among Medicare Beneficiaries.

JAMA network open·2025
Same author

Understanding the Effect of Race on Medicare Advantage Enrollment.

Health services research·2025

Related Experiment Video

Updated: Jan 13, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

15.0K

Provider Attribution in Medicare: Challenges and Solutions.

Caroline S Carlin1, Roger Feldman2, Jeah Jung3

  • 1Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota, USA.

Health Services Research
|October 28, 2025
PubMed
Summary

Researchers improved Medicare Advantage data by enhancing National Provider Identifier (NPI) and specialty information. This enabled reliable patient attribution to usual clinicians across Medicare Advantage and Traditional Medicare populations.

Keywords:
Medicare AdvantageNational Provider IdentifiersTraditional Medicareretrospective provider attribution

More Related Videos

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.9K
Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

62

Related Experiment Videos

Last Updated: Jan 13, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

15.0K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.9K
Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

62

Area of Science:

  • Health Services Research
  • Health Informatics
  • Health Policy

Background:

  • Medicare Advantage (MA) encounter data often lacks complete National Provider Identifier (NPI) and specialty information.
  • Accurate provider identification is crucial for patient attribution and health services research.

Purpose of the Study:

  • To enhance MA encounter data with NPI and specialty information.
  • To evaluate retrospective patient attribution methods.
  • To compare attribution performance between MA and Traditional Medicare (TM) populations.

Main Methods:

  • Enriched MA encounter data using Centers for Medicare and Medicaid Services (CMS) and public provider datasets.
  • Applied 16 methods for usual clinician attribution.
  • Compared attribution method performance in MA and TM using 2016-2022 data.

Main Results:

  • Successfully enhanced NPI and specialty data, covering over 99% of encounters in MA and TM by 2022.
  • Most attribution methods performed similarly across MA and TM.
  • Recommended a hierarchical attribution method for consistent patient-clinician assignment.

Conclusions:

  • Developed methods to identify provider NPIs for matching external data.
  • Enabled patient attribution to usual care sources in MA and TM.
  • Facilitated the use of clinician fixed effects in health services studies.