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Does Vertical Integration Improve Access to Surgical Care for Medicaid Beneficiaries?


ABSTRACT:

Background

Vertical integration is increasingly common among surgical specialties in the US; however, the effect of vertical integration on access to care for low-income populations remains poorly understood. We explored the characteristics of surgical practices associated with vertical integration and the effect of integration on surgical access for Medicaid populations.

Study design

Using a survey of US office-based physician practices, we examined characteristics of 15 surgical subspecialties from 2007 to 2017, including provider sex and specialty, practice payer mix, surgical volume, and county socioeconomic status. Using multivariable logistic regression and time-series analysis, we evaluated practice and provider characteristics associated with vertical integration-our

SUBMITTER: Haddad DN 

PROVIDER: S-EPMC9109457 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature