Reference-Based Benefits for Colonoscopy and Arthroscopy: Large Differences in Patient Payments Across Procedures but Similar Behavioral Responses.
cost sharing
difference-in-differences
reference pricing
Journal
Medical care research and review : MCRR
ISSN: 1552-6801
Titre abrégé: Med Care Res Rev
Pays: United States
ID NLM: 9506850
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
pubmed:
15
8
2018
medline:
1
6
2021
entrez:
15
8
2018
Statut:
ppublish
Résumé
This study examines how reference-based benefits (RBB) affect patient out-of-pocket payments across outpatient procedures. The California Public Employees' Retirement System (CalPERS) implemented RBB asymmetrically for outpatient procedures in 2012, only applying RBB to outpatient procedures performed in a hospital outpatient department (HOPD), and not applying RBB to outpatient procedures performed in a lower cost ambulatory surgery center. Using claims data (2009-2013) on arthroscopy and colonoscopy services, we found that for colonoscopy, CalPERS patients paid an average of 63.9% (
Identifiants
pubmed: 30103654
doi: 10.1177/1077558718793325
pmc: PMC7853083
mid: NIHMS1634194
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
261-273Subventions
Organisme : NIA NIH HHS
ID : K01 AG061274
Pays : United States
Organisme : AHRQ HHS
ID : R01 HS022098
Pays : United States
Organisme : NCI NIH HHS
ID : R21 CA219229
Pays : United States
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