Effects of the Medicare Modernization Act on Spending for Outpatient Surgery.

ABSTRACT: OBJECTIVES:To examine the effects of Medicare's revised ambulatory surgery center (ASC) payment schedule on overall payments for outpatient surgery. DATA SOURCES:Twenty percent sample of national Medicare beneficiaries. STUDY DESIGN:We conducted a pre-post study of Medicare beneficiaries who underwent outpatient surgery in a hospital outpatient department (HOPD), ASC, or physician office between 2004 and 2011. Specifically, we used multivariable regression to compare temporal trends in outpatient surgery before and after implementation of Medicare's revised payment schedule in 2008, which reduced ASC facility payments to roughly two-thirds that of HOPDs. Our outcome measures included overall Medicare payments, utilization rates, per beneficiary spending, and average episode payments for ou

SUBMITTER: Hollingsworth JM 

PROVIDER: S-EPMC6056603 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature