The Association Between Provider Price and Complication Rates for Outpatient Surgical Services

The Association Between Provider Price and Complication Rates for Outpatient Surgical Services The Association Between Provider Price and Complication Rates for Outpatient Surgical Services 1,2 Christopher Whaley, Ph.D. 1 2 RAND Corporation, Santa Monica, CA, USA; School of Public Health, University of California, Berkeley, Berkeley, CA, USA. services, procedure- and provider-level prices are associ- BACKGROUND: Wide variations exist in price and quality ated with modest increased rates of complication rates. for health-care services, but the link between price and quality remains uncertain. KEY WORDS: provider price; provider quality. OBJECTIVE: This paper used claims data from a large commercially insured population to assess the associa- J Gen Intern Med 33(8):1352–8 tion between both procedure- and provider-level prices DOI: 10.1007/s11606-018-4506-7 and complication rates for three common outpatient sur- © Society of General Internal Medicine 2018 gical services. DESIGN: This is a retrospective cohort study. SETTING: The study used medical claims data from com- mercial health plans between 2009 and 2013 for three outpatient surgical services—joint arthroscopy, cataract INTRODUCTION surgery, and colonoscopy. The US health-care system exhibits substantial variation in MAIN MEASURES: For each procedure, price was 1–3 4 5,6 7–9 prices, spending, utilization, and outcomes. The link assessed as the sum of patient, employer, and insurer between variations in price and quality remains http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

The Association Between Provider Price and Complication Rates for Outpatient Surgical Services

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Publisher
Springer US
Copyright
Copyright © 2018 by Society of General Internal Medicine
Subject
Medicine & Public Health; Internal Medicine
ISSN
0884-8734
eISSN
1525-1497
D.O.I.
10.1007/s11606-018-4506-7
Publisher site
See Article on Publisher Site

Abstract

The Association Between Provider Price and Complication Rates for Outpatient Surgical Services 1,2 Christopher Whaley, Ph.D. 1 2 RAND Corporation, Santa Monica, CA, USA; School of Public Health, University of California, Berkeley, Berkeley, CA, USA. services, procedure- and provider-level prices are associ- BACKGROUND: Wide variations exist in price and quality ated with modest increased rates of complication rates. for health-care services, but the link between price and quality remains uncertain. KEY WORDS: provider price; provider quality. OBJECTIVE: This paper used claims data from a large commercially insured population to assess the associa- J Gen Intern Med 33(8):1352–8 tion between both procedure- and provider-level prices DOI: 10.1007/s11606-018-4506-7 and complication rates for three common outpatient sur- © Society of General Internal Medicine 2018 gical services. DESIGN: This is a retrospective cohort study. SETTING: The study used medical claims data from com- mercial health plans between 2009 and 2013 for three outpatient surgical services—joint arthroscopy, cataract INTRODUCTION surgery, and colonoscopy. The US health-care system exhibits substantial variation in MAIN MEASURES: For each procedure, price was 1–3 4 5,6 7–9 prices, spending, utilization, and outcomes. The link assessed as the sum of patient, employer, and insurer between variations in price and quality remains

Journal

Journal of General Internal MedicineSpringer Journals

Published: Jun 4, 2018

References

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