There is considerable data showing that disparities in payment across sites of service increase costs to patients, insurers and taxpayers as well as result in marketplace consolidation that limits patient choice by reducing access to care in the community-setting.
In a report titled, “The High Price of Hospital Care,” the Center for American Progress examines trends in hospital profits and pricing variation across geographic areas and payers. CAP offers several policy options to rein in the high cost of hospital care, including imposing site neutral payments. According to report, “hospital profitability has risen to […]
Though few patients may realize it, the cost of health care varies widely across different sites of service. A new study by the Health Care Cost Institute (HCCI) adds more evidence to the growing body of literature that shows outpatient settings cost more than office settings for performing the exact same services. In the study, […]
Access to high-quality cancer care remains a challenge for many patients. One such barrier is the increasing cost of treatment. With recent shifts in cancer care delivery from community-based to hospital-based clinics, we examined whether this shift could result in increased costs for patients with three common tumor types. Read the full document: Cost Differences […]
A research letter published in JAMA Oncology examined trends in use of and spending for infused chemotherapy in the hospital outpatient department (HOPD) setting compared to the physician office setting from 2004 to 2014 among commercial insured patients. The study found the following: The rate of commercially insured patients receiving chemotherapy in HOPDs increased from […]
Read full document: Implications of Hospital Employment of Physicians on Medicare & Beneficiaries
Hospital ownership of physician practices increased rapidly over the past decade, and by 2015 nearly 4 in 10 practices were owned by a hospital. Prior research has shown that physician integration with hospitals is associated with higher prices, but the latest evidence suggests it also affects which hospital a patient chooses to visit. A study […]
The 2016 Community Oncology Practice Impact Report documents a 121% increase in community cancer clinic closings and a 172% increase in consolidation into hospitals since 2008. In that period, 380 cancer treatment facilities have closed, and 609 community cancer practices have been acquired by or become affiliated with hospitals. Another 390 practices report that they […]
Hospital ownership of physician practices has increased by 86% in the last three years, according to a new report. The analysis, conducted by healthcare consulting firm Avalere Health and the not-for-profit Physicians Advocacy Institute, found that from 2012 to 2015, hospitals acquired 31,000 physician practices in the U.S. In 2012, about one in seven physician […]
Nearly 14.5 million Americans with a history of cancer were alive in 2014 and that number is projected to increase to 18.1 million in 2020. A number of factors will contribute to this increase, including the growth and aging of the U.S. population, an overall reduction in mortality, the earlier detection of cancer (lead timebefore […]
Recently, researchers and policy makers have demonstrated growing interest in differences in payments across sites of care for the same healthcare service, such as in a hospital outpatient department (HOPD) versus a physician office (PO). Our objective was to examine the price differential for individuals with employer-sponsored insurance by site of care for 7 commonly […]
