Annual Spending per Patient and Quality in Hospital-Owned Versus Physician-Owned Organizations: an Observational Study.

ABSTRACT:

Background

Recent studies that compared patient spending in hospital-owned physician practices versus physician-owned groups did not compare quality of care. Past studies had incomplete measures of physician-hospital integration, or lacked patient-level data.

Objective

To measure the association between physician-hospital integration and both spending and quality using patient-level data and explicit physician-hospital contracting information.

Design

Retrospective review of claims data from 2014 through 2016. Adjustments were made for patient, physician, and regional characteristics.

Patients

Patients aged 19 to 64 enrolled in a Blue Cross Blue Shield Texas Preferred Provider Organization in the four largest metropolitan areas in Texas who could be attributed t

SUBMITTER: Ho V 

PROVIDER: S-EPMC7080686 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature