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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 5 of 5 Research Studies Displayed
Hollingsworth JM, Birkmeyer JD, Ye Z
Specialty-specific trends in the prevalence and distribution of outpatient surgery: implications for payment and delivery system reforms.
The authors sought to assess the prevalence and distribution of outpatient surgery across specialties. They found that several specialties - urology, gastroenterology, plastic surgery, and ophthalmology - perform most of their cases in outpatient settings. They suggested that incorporating these findings into the design of future payment and delivery system reforms will help to ensure adequate surgeon exposure to the efficiency gains that evolve from them.
AHRQ-funded; HS020927; HS018346.
Citation: Hollingsworth JM, Birkmeyer JD, Ye Z . Specialty-specific trends in the prevalence and distribution of outpatient surgery: implications for payment and delivery system reforms. Surg Innov 2014 Dec;21(6):560-5. doi: 10.1177/1553350613520515.
Keywords: Ambulatory Care and Surgery, Surgery, Healthcare Delivery, Payment
Ridgely MS, de Vries D, Bozic KJ
Bundled payment fails to gain a foothold in California: the experience of the IHA bundled payment demonstration.
This article reports on a meeting convened by California's Integrated Healthcare Association to determine whether bundled payment could be an effective payment model for California. An evaluation of the pilot documented a number of barriers, such as administrative burden, state regulatory uncertainty, and disagreements about bundle definition and assumption of risk; however, the evaluation provides lessons for future bundled payment initiatives.
Citation: Ridgely MS, de Vries D, Bozic KJ . Bundled payment fails to gain a foothold in California: the experience of the IHA bundled payment demonstration. Health Aff 2014 Aug;33(8):1345-52. doi: 10.1377/hlthaff.2014.0114.
Keywords: Payment, Policy
Kronick R, Welch WP
AHRQ Author: Kronick R
Measuring coding intensity in the Medicare Advantage program.
Each year from 2004-2013, the average Medicare Advantage risk score increased faster than the average fee-for-service score. The intensity of coding varies widely by contract. The authors suggested that with the continuous relative increase in the average Medicare Advantage risk score, further policy changes will likely be necessary.
Citation: Kronick R, Welch WP . Measuring coding intensity in the Medicare Advantage program. Medicare Medicaid Res Rev 2014 Jul 17;4(2). doi: 10.5600/mmrr2014-004-02-a06.
Keywords: Medicare, Health Insurance, Payment
Ryan AM, Mushlin AI
The Affordable Care Act's payment reforms and the future of hospitals.
The author places likely hospital responses to the Affordable Care Act’s payment reforms in the historical context of their previous responses to such reforms as price controls, certificate-of-need laws, and prospective payment systems. He then discusses possible hospital responses to counter readmission penalties, revenue reductions, bundled payment strategies, and accountable care organizations.
Citation: Ryan AM, Mushlin AI . The Affordable Care Act's payment reforms and the future of hospitals. Ann Intern Med. 2014 May 20;160(10):729-30. doi: 10.7326/M13-2033..
Keywords: Healthcare Costs, Payment, Value, Hospitals, Policy
Bazzoli GJ, Fareed N, Waters TM
Hospital financial performance in the recent recession and implications for institutions that remain financially weak.
This study of 2,971 private short-term general medical or surgical hospitals found that hospitals that were financially weak before the recession remained so during and after the recession. The total margins of nonprofit hospitals declined in 2008 but returned to pre-recession levels by 2011. The recession did not create additional fiscal pressure on hospitals that were previously financially weak or in safety-net roles.
Citation: Bazzoli GJ, Fareed N, Waters TM . Hospital financial performance in the recent recession and implications for institutions that remain financially weak. Health Aff. 2014 May;33(5):739-45. doi: 10.1377/hlthaff.2013.0988..
Keywords: Healthcare Costs, Payment, Hospitals, Safety Net