Physician reaction to price changes: an episode-of-care analysis.
Lee, A James
Date of Pub
Mitchell, Janet B
Physicians may respond to fee reductions in a variety of ways. This episode-of-care analysis examines the impact of surgical
fee reductions (mandated by the Omnibus Budget Reconciliation Acts [OBRAs] of 1986-87) on the overall pattern and cost of
health care services provided in association with the surgical procedure itself. The study focuses on six procedure groups:
cataract extractions; total hip replacement; total knee replacement; coronary artery bypass graft (CABG) surgery; upper gastrointestinal
(GI) endoscopy; and prostatectomy. Only two of these procedures give significant evidence for the existence of a service volume
offset to the fee reductions.
Episode of Care : Data Collection : Fee Schedules/legislation & jurisprudence : Health Services Research : Human : Medicare
Part B/legislation & jurisprudence/statistics & numerical data : Patterns/economics/statistics & numerical data : Physician's
Practice : Regression Analysis : Relative Value Scales : Specialties, Surgical/economics : Support, U.S. Gov't, Non-P.H.S.
: Surgical Procedures, Operative/economics/utilization : United States