Professional Fees for U.S. Hospital Care, 2016-2020.

ABSTRACT:

Background

The latest comprehensive diagnosis-specific estimates of hospital professional fees relative to facility fees are from 2004 to 2012.

Objective

Update professional fee ratio (PFR) estimates to improve cost analysis opportunities with hospital discharge data sources and compare them with previous PFR estimates.

Subjects

2016-2020 MarketScan inpatient admissions and emergency department (ED) treat and release claims.

Measures

PFR was calculated as total admission or ED visit payment divided by facility-only payment. This measure can be multiplied by hospital facility costs to yield a total cost estimate.

Research design

Generalized linear regression models controlling for selected patient and service characteristics were used to calculate adjuste

SUBMITTER: Peterson C 

PROVIDER: S-EPMC10653007 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature