Ambulatory Surgery Centers and Prices in Hospital Outpatient Departments

Medical Care Research and Review - Tập 74 Số 2 - Trang 236-248 - 2017
Kathleen Carey1
1Boston University School of Public Health, Boston, MA, USA

Tóm tắt

Specialty providers claim to offer a new competitive benchmark for efficient delivery of health care. This article explores this view by examining evidence for price competition between ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). I studied the impact of ASC market presence on actual prices paid to HOPDs during 2007-2010 for four common surgical procedures that were performed in both provider types. For the procedures examined, HOPDs received payments from commercial insurers in the range of 3.25% to 5.15% lower for each additional ASC per 100,000 persons in a market. HOPDs may have less negotiating leverage with commercial insurers on price in markets with high ASC market penetration, resulting in relatively lower prices.

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Tài liệu tham khảo

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Thông tin xuất bản

Medical Care Research and Review

Tập 74 Số 2

236-248

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