Published in:
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. …