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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 2/2020

01-02-2020 | Colonoscopy | Capsule Commentary

Capsule Commentary on Chen et al., “Impact of an Episode-Based Payment Initiative by Commercial Payers in Arkansas on Procedure Volume: an Observational Study”

Author: Cason Pierce, MD, MA, FHM

Published in: Journal of General Internal Medicine | Issue 2/2020

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Excerpt

The observational study by Chen et al.1 examined the effects of a mandated change from a fee-for-service (FFS) to an episode-based payment (EBP) reimbursement model on procedural volumes and the probability that commercially insured beneficiaries in Arkansas underwent four elective procedures: colonoscopy, tonsillectomy, cholecystectomy, and total joint replacement. They found only colonoscopy rates increased in a statistically significant manner in the post-intervention period. They concluded that transition to EBP increases some, but not all, elective procedures. …
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Angrist JD, Pischke J-S. Mostly harmless econometrics: An empiricist's companion. Princeton University Press; 2008.
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Autor DH. Outsourcing at will: The contribution of unjust dismissal doctrine to the growth of employment outsourcing. J Labor Econ. 2003;21(1):1-42.CrossRef
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Wing C, Simon K, Bello-Gomez RA. Designing difference in difference studies: best practices for public health policy research. Ann Rev Public Health. 2018;39.CrossRef
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Birkmeyer JD, et al. Understanding of regional variation in the use of surgery. Lancet. 2013;382(9898):1121-1129.CrossRef
Metadata
Title
Capsule Commentary on Chen et al., “Impact of an Episode-Based Payment Initiative by Commercial Payers in Arkansas on Procedure Volume: an Observational Study”
Author
Cason Pierce, MD, MA, FHM
Publication date
01-02-2020
Publisher
Springer US
Keyword
Colonoscopy
Published in
Journal of General Internal Medicine / Issue 2/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-019-05496-4

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