Measuring growth in the volume and intensity of Medicare physician services 1985-1989 by Stephen Zuckerman

Cover of: Measuring growth in the volume and intensity of Medicare physician services | Stephen Zuckerman

Published by Urban Institute in Washington, D.C .

Written in English

Read online

Subjects:

  • Government policy,
  • Physician services utilization,
  • Medicare,
  • Cost control,
  • Medical fees

Edition Notes

Book details

StatementStephen Zuckerman, John Holahan ; Federal Project Officer: Sherry Terrell
ContributionsHolahan, John, Terrell, Sherry, United States. Health Care Financing Administration, Urban Institute
Classifications
LC ClassificationsRA410.7 .Z835 1992
The Physical Object
Paginationii, 27 pages ;
Number of Pages27
ID Numbers
Open LibraryOL25581827M
OCLC/WorldCa849895429

Download Measuring growth in the volume and intensity of Medicare physician services

Measuring growth in the volume and intensity of Medicare physician services. a preset target. Using data from the through Medicare Part B Annual Data (BMAD), we show there are wide differences in the rate of growth in volume and intensity across types of services, specialties, and geographic areas.

Measuring growth in the volume and intensity of Medicare physician services. (PMID) Abstract Citations a preset target. Using data from the through Medicare Part B Annual Data (BMAD), we show there are wide differences in the rate of growth in volume and intensity across types of services, specialties, and geographic   The authors compared the growth of expenditures, prices, and volume and intensity of physician services delivered to the elderly in the United States and Canada from to using claims-level data from U.S.

Medicare and from Ontario, Quebec, and British :// The indices can be used to adjust Medicare physician spending data to examine growth or variations in the volume and intensity of services.

In both instances, it is necessary to apply an index form that reflects both the rapid changes and variability in the mix of physician services received by Medicare beneficiaries and their relative    Volume 4, Number 2 A publication of the Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics Measuring Coding Intensity in the Medicare Advantage Program Richard Kronick1 and W.

Pete Welch2 1Department of Health and Human Services—Agency for Healthcare Research and Quality   23 Medicare spending for physician and clinical services grew much faster in than in — percent and percent, respectively—because of an increase in the growth of the volume   Zuckerman S, Holahan J.

Measuring growth in the volume and intensity of Medicare physician services. Inquiry ; Web of Science;   volume and intensity of Medicare services, particularly for hospital and physician & clinical services • Decelerating growth in enrollment nearly offset by further increases in growth in the volume and intensity of services.

SOURCE Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics ://   Medicare physician spending even though the overall relative value of E&M services has increased. An Urban Institute analysis of changes in the relative values assigned to services during the first 10 years’ experience with the physician fee schedule and how those changes interact with growth in the volume of services sheds light on this ?sfvrsn=0.

18 Since physician supply increased rapidly in the s, across all physicians as a group, growth in volume of services was the dominant factor explaining rising net income. It accounted for two   status, Medicare payment rates, service volume (number of services), and service intensity (e.g., MRI vs.

simple X-ray). In contrast, regional variation in the use of Medicare services reflects only differences in the volume and intensity of services that beneficiaries with comparable health status receive.

We find that, although service use ?sfvrsn=0. Using merged physician survey and Medicare claims data, this study analyzes how fee levels, market factors, and financial incentives Measuring growth in the volume and intensity of Medicare physician services book physicians’ fee-for-service Medicare service volume.

We find that Medicare fees are positively related to both the number of beneficiaries treated (η = to ) and service intensity (η = –). Medicare fee schedule, which went into effect January 1, Under the RB-RVS fee schedule, the Center for Medicare & Medicaid Services (CMS) assigns relative value units (RVUs) that reflect physician work (i.e., time, skill, and intensity it takes to provide the service), practice   Medicare is concerned with the continuing growth of outpatient services that are being provided in a “hospital setting.” This expenditure growth continues to trend upward with a percent increase expected in In addition, there continues to be an upward trend in the volume and intensity of outpatient services to Medicare ://   A key issue of interest is how these Medicare SNF payment changes affected the volume and intensity of Medicare services.

A large literature examines the implications of the shift to Medicare PPS among hospitals (e.g., Kosecoff et al., ). However, by comparison, relatively few studies have examined this issue in relation to the SNF ://   Readers and Book Lovers That's reflected in the continued very slow growth in Medicare spending.

A big part of that slowdown is "a decline in the volume and intensity of physician services 1 INTRODUCTION. Demand for primary care services is expected to grow. The Medicare program is anticipating an increase from 54 million beneficiaries today to over 80 million beneficiaries inmany of whom will have longer life expectancies, high rates of obesity, and chronic conditions.

1 These population changes will challenge a volatile primary care workforce facing major compositional   The Impact of Medicare Physician Payment Reductions on the Private Insurance Market.

Much less research has been conducted on how changes in Medicare payment rates affect the volume and intensity of services provided to privately insured patients.

The study just noted is perhaps the largest undertaking to ://   growth in the volume and intensity of services being delivered. As a result, CBO projects, Medicare spending on physicians’ services will grow in coming years, but in it will be only 13 percent higher than it was inreflecting an average annual growth rate of less than 2 percent.

In contrast, from We used the decedent‐to‐survivor expenditure ratio to determine whether growth rates among decedents outpaced growth relative to survivors, using the growth rate among survivors to control for secular trends in treatment intensity. Data Collection. The data were collected by the Centers for Medicare and Medicaid Services.

Principal ://   The recent report by the Centers for Medicare and Medicaid Services (CMS) that 40 percent of Medicare providers face percent cuts for failing to submit data to the Physician Quality Reporting The relationship between practice intensity and the quality and outcomes of care has not been studied.

To examine the relationship between primary care physicians’ costliness both for defined episodes of care and for defined patients and the quality and outcomes of care delivered to Medicare beneficiaries.

Cross sectional analysis of physician survey data linked to Medicare :// U.S. Government Accountability Office. Washington, DC.: Mar, Medicare Physician Fees Geographic Adjustment Indices Are Valid In Design, But Data And Methods Need Refinement.

Pub. GAO Zuckerman S, Holahan J. Measuring Growth in the Volume and Intensity of Physician Services. Inquiry. ; 29 (4)–   Introduction. V alue-based payments are accelerating rapidly: the Centers for Medicare and Medicaid Services (CMS) seeks to tie 90% of traditional Medicare payment to measures of quality or value by 1 While not the primary target of recent policies, the value of spending on the seriously ill, patients with life-limiting illness, 2 is receiving increasing :// Measuring physician quality is fundamental to understanding healthcare productivity, yet attempts to estimate the types of physicians that improve survival can be confounded due to patient sorting.

This paper aims to overcome this endogeneity problem by exploiting plausibly exogenous variation in the mix of physicians available to treat the   The Cloudy Relationship between Treatment Intensity and Quality. Much of the evidence that variation in health care treatment intensity (including the number or concentration of diagnostic tests, physician visits, hospitalizations, and procedures) is weakly related to quality comes from the Dartmouth Atlas of Health ://   U.S.

Government Accountability Office: Medicare Physician Fees Geographic Adjustment Indices Are Valid In Design, But Data And Methods Need Refinement.

Pub. GAO Washington DC. March Zuckerman, S. and Holahan, J.: Measuring Growth in the Volume and Intensity of Physician Services.

Inquiry 29(4), +of+resource-based+practice+expenses+on+the. OPPS applies to almost all hospitals participating in Medicare and to most hospital outpatient services. 5 It essentially is a new fee schedule that groups outpatient services, sets the same predetermined payment rate per service or procedure for all services in each group, and makes necessary adjustments in certain circumstances.

6 Multiple   [scald=]Health reform legislation that has passed the House in one form and is before the Senate in another is facing a series of attacks that, taken together, suggest the legislation would do little to control health care costs and would increase budget deficits.

Many of these charges are exaggerated or simply incorrect, based on the Center’s careful analysis of the ://   Background The national volume-performance standard recently implemented by Medicare does not account for geographic variation in expenditures for physicians' services.

To   Increasing cost of care is a major concern for national health policy in the United States. Medicare, the national health insurance program primarily for elderly Americans, expended to $ billion inand is projected to grow to $ billion by 1 Cancer care represents a large share of health care expenditures.

As a result of demographic change in the size and aging of the US   The second barrier is the stagnant compensation system of public insurance plans.

In most industries, higher quality is associated with higher prices. That is not true in medical care, however, largely because of the public sector. Medicare accounts for 25% of physician and hospital services, and Medicaid accounts for another 13%.

Medicare Authorized in under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part sets payment rates for physician services according to a fee schedule that is based on certain According to Medicare, init’s benefit payments equaled to US$ Bn, which was an increase from US$ Bn in Medicare’s per capita expenditure is anticipated to increase at an average annual rate of percent during the next 10 years, due to increase in use of services and intensity of care, growing Medicare enrollment, and   Finally, to assess changes in the volume of services provided to Medicare beneficiaries, two types of quantity variables were created at the physician level: (1) an unadjusted count of the overpriced procedures, which represents a simple summation of the quantity of each of the overpriced procedures that the physician provided to Medicare +access+following+Medicare+price+changes.

If the current SGR formula remains in place, resulting in sizable cuts in Medicare physician payments, the Lewin Group projects a deficit reduction of $ billion over the period – and In the decade between andMedicare spending per FFS beneficiary on physician services increased by more than 75%.

30 It has been stated that even though the physician portion of the Medicare spending is declining, growth and spending on physician services is one of several contributions to part B premium increases over this time   The State of Louisiana spends the most on Medicare beneficiaries per capita, but reports greater disparities in health status and death rates than other states.

This project sought to investigate the associations between healthcare intensity, healthcare spending, and mortality in Louisiana. We used a % sample of Medicare claims data with beneficiaries assigned to hospital referral   The emergency department (ED) has become one of the major cornerstones of the U.S.

health care system. The U.S. population grew from million in to million in (+%) [].There was a total of million ED visits in the United States in   Summary statistics. Population-weighted socioeconomic characteristics of respondents aged 26 to 64 for the overall study population are described in Table 1, Column the overall sample (n = 47,), the mean age was years, and % of the population were dents with private insurance represent % of the sample, respondents with public insurance represent.

“The impact of Medicare Part D on prescription drug use by the elderly: evidence from a large retail pharmacy chain,” with Shawn Sun, Health Affairs 26(6), November/December; reprinted in the Pharmaceutical Economics volume (ed.

by W. S. Comanor and S. O. Schweitzer) of the International Library of Critical Writings in National Medicare claims from January 1,through Decemwere analyzed to identify newly diagnosed prostate cancers. Three “radical treatment” cohorts were identified (prostatectomy, brachytherapy, and stereotactic body radiation therapy [SBRT]) and matched to an active surveillance (AS) cohort by using inverse probability treatment weighting via propensity ://(20)/fulltext.

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