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- Title
Spending per Medicare Beneficiary Is Higher in Hospital-Owned Small- and Medium-Sized Physician Practices.
- Authors
Pesko, Michael F.; Ryan, Andrew M.; Shortell, Stephen M.; Copeland, Kennon R.; Ramsay, Patricia P.; Sun, Xuming; Mendelsohn, Jayme L.; Rittenhouse, Diane R.; Casalino, Lawrence P.
- Abstract
<bold>Objective: </bold>To examine the relationship of physician versus hospital ownership of small- and medium-sized practices with spending and utilization of care.<bold>Data Source/study Setting/data Collection: </bold>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.<bold>Study Design: </bold>We used generalized linear models to estimate the associations between practice characteristics and outcomes (emergency department visits, index admissions, readmissions, and spending).<bold>Principal Findings: </bold>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.<bold>Conclusions: </bold>Physician practices are increasingly being purchased by hospitals. This may result in higher total spending on care.
- Subjects
MEDICAL care costs; SMALL business; PRIMARY care; EMERGENCY medical services; HOSPITAL admission &; discharge
- Publication
Health Services Research, 2018, Vol 53, Issue 4, p2133
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12765