Toward understanding variations in price and billing in US healthcare services: A predictive analytics approach

作者:

Highlights:

• Multi-class classification proposed for understanding provider billing patterns.

• Ensemble prediction models based on gradient boosted trees perform the best.

• Socioeconomic and demographic factors of the patient base play a significant role.

• Practice excess charge ratio and procedure impact on service are key predictors.

• Results justify limiting Medicare excess charge to avoid high prices.

摘要

•Multi-class classification proposed for understanding provider billing patterns.•Ensemble prediction models based on gradient boosted trees perform the best.•Socioeconomic and demographic factors of the patient base play a significant role.•Practice excess charge ratio and procedure impact on service are key predictors.•Results justify limiting Medicare excess charge to avoid high prices.

论文关键词:Health services,Multiclass prediction,Healthcare cost,Healthcare analytics

论文评审过程:Received 28 January 2022, Revised 23 June 2022, Accepted 18 July 2022, Available online 2 August 2022, Version of Record 11 August 2022.

论文官网地址:https://doi.org/10.1016/j.eswa.2022.118241