Upstream and downstream revenue of upper gastrointestinal endoscopic ultrasound determined with an episode-of-care approach.

ABSTRACT: Background and study aims  Upper gastrointestinal endoscopic ultrasound (EUS) has clinical advantages that can lead to improved patient outcome. This study seeks to characterize and quantify the upstream and downstream healthcare utilizations and revenues. Patients and methods  A retrospective claims data analysis of upper gastrointestinal EUS procedures was conducted at a large health system. Types of care and total revenues associated with each episode of care were characterized by descriptive statistics. Comparisons were made between patients who had Medicare Advantage and commercial plans as well as those with and without cancer diagnoses during the downstream period. Results  A total of 436 cases were identified. The most frequent downstream healthcare utilizations consisted of radiol

SUBMITTER: Maeng D 

PROVIDER: S-EPMC6805194 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature