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- W2021528830 abstract "Introduction: Double Balloon Enteroscopy (DBE) is a procedure enabling diagnostic and therapeutic interventions potentially within the entire small bowel. Given that physician resource utilization is limited, further research regarding the financial repercussions of establishing a DBE program is warranted. Aim: To evaluate the actual financial outcomes compared to the predicted Return On Investment (ROI) hypothesized values at a tertiary care center one year after adopting a DBE program. Methods: Prior to adoption, the University of Wisconsin Hospital and Clinics technology assessment committee reviewed the available DBE literature to model a ROI analysis. During a one year time period (7/07-6/08), following establishment of a DBE program, we conducted a retrospective comparison of our predicted and actual financial experience. Results: The ROI analysis was based on a 5 year time frame and projected a net present value, defined as the total cash flow generated over 5 years expressed in today's dollar discounted at the determined cost of capital, to be $64,623. Based on this net present value and the capital expenditures to establish the program, the projected internal rate of return was 24.6 %. Projected and actual DBE volumes and revenues are detailed in Table 1. The reimbursement values for various payors are shown in Table 2. Conclusions: 1) Based on our analysis, the total first year volume of cases were overestimated; however, the percent margin for profit was similar between the predicted and actual outpatient values. 2) There is a significant difference in cost for care between the outpatient and inpatient DBE cases, with outpatient cases being more profitable due to less consumption of resources compared to an inpatient stay. 3) Payor mix significantly influences DBE reimbursement. 4) Gastroenterologists who are interested in establishing a DBE program need to be aware of the financial implications, which can best be evaluated by a ROI analysis." @default.
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- W2021528830 date "2009-04-01" @default.
- W2021528830 modified "2023-10-18" @default.
- W2021528830 title "Return On Investment Analysis of Double Balloon Enteroscopy: Implications for Financial Reimbursement and Program Establishment" @default.
- W2021528830 doi "https://doi.org/10.1016/j.gie.2009.03.086" @default.
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