Spending per Medicare Beneficiary Is Higher in Hospital-Owned Small- and Medium-Sized Physician Practices

Autor: Jayme L. Mendelsohn, Patricia P. Ramsay, Kennon R. Copeland, Xuming Sun, Michael F. Pesko, Stephen M. Shortell, Diane R. Rittenhouse, Lawrence P. Casalino, Andrew M. Ryan
Rok vydání: 2017
Předmět:
Aging
medicine.medical_specialty
Index (economics)
Policy and Administration
8.1 Organisation and delivery of services
ownership
Ambulatory/outpatient care
Practice Patterns
Primary care
Medicare
Hospital
03 medical and health sciences
0302 clinical medicine
Clinical Research
ownership/governance
Claims data
Ambulatory
Humans
Medicine
030212 general & internal medicine
Practice Patterns
Physicians'
outpatient care
Data source
Emergency Service
Physicians'
Data collection
Primary Health Care
business.industry
030503 health policy & services
Health Policy
Ownership
Medicare beneficiary
Emergency department
Health Services
Patient Acceptance of Health Care
Hospitals
United States
health care organizations and systems
governance
Family medicine
Public Health and Health Services
Health Policy & Services
Medicare and Medicaid Spending
Survey data collection
Health Expenditures
Emergency Service
Hospital
0305 other medical science
business
Health and social care services research
Zdroj: Health services research, vol 53, iss 4
ISSN: 0017-9124
Popis: Objective To examine the relationship of physician versus hospital ownership of small- and medium-sized practices with spending and utilization of care. Data Source/Study Setting/Data Collection Survey data for 1,045 primary care-based practices of 1–19 physicians linked to Medicare claims data for 2008 for 282,372 beneficiaries attributed to the 3,010 physicians in these practices. Study Design We used generalized linear models to estimate the associations between practice characteristics and outcomes (emergency department visits, index admissions, readmissions, and spending). Principal Findings Beneficiaries linked to hospital-owned practices had 7.3 percent more emergency department visits and 6.4 percent higher total spending compared to beneficiaries linked to physician-owned practices. Conclusions Physician practices are increasingly being purchased by hospitals. This may result in higher total spending on care.
Databáze: OpenAIRE
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