Physician patient sharing relationships within insurance plan networks.

ABSTRACT:

Objective

To quantify shared patient relationships between primary care physicians (PCPs) and cardiologists and oncologists and the degree to which those relationships were captured within insurance networks.

Data sources

Secondary analysis of Vericred data on physician networks, CareSet data on physicians' shared Medicare patients, and insurance plan attributes from Health Insurance Compare. Data validation exercises used data from Physician Compare and IQVIA.

Study design

Cross-sectional study of the PCP-to-specialist in-network shared patient percentage (primary outcome). We also categorized networks by insurance market segment (Medicare Advantage [MA], Medicaid managed care, small-group or individually purchased), insurance plan type, and network breadth.

Data

SUBMITTER: Graves JA 

PROVIDER: S-EPMC10480085 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature