Association of Device Industry Payments, Physician Supply, and Regional Utilization of Orthopedic and Cardiac Procedures.

ABSTRACT:

Background

Geographic variation in high-cost medical procedure utilization in the USA is not fully explained by patient factors but may be influenced by the supply of procedural physicians and marketing payments.

Objective

To examine the association between physician supply, medical device-related marketing payments to physicians, and utilization of knee arthroplasty (KA) and percutaneous coronary interventions (PCI) within hospital referral regions (HRRs).

Design

Cross-sectional analysis of data from the 2018 CMS Open Payments database and procedural utilization data from the CMS Provider Utilization and Payment database.

Participants

Medicare-participating procedural cardiologists and orthopedic surgeons.

Main measures

Regional rates of PCIs and KAs pe

SUBMITTER: Muluk SL 

PROVIDER: S-EPMC10465424 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature