Matches in SemOpenAlex for { <https://semopenalex.org/work/W4383371714> ?p ?o ?g. }
- W4383371714 endingPage "2131" @default.
- W4383371714 startingPage "2123" @default.
- W4383371714 abstract "Background Recent literature has shown the advantages of outpatient surgery for many shoulder and elbow procedures, including cost savings with equivalent safety in appropriately selected patients. Two common settings for outpatient surgeries are ambulatory surgery centers (ASCs), which function as independent financial and administrative entities, or hospital outpatient departments (HOPDs), which are owned and operated by hospital systems. The purpose of this study was to compare shoulder and elbow surgery costs between ASCs and HOPDs. Methods Publicly available data from 2022 provided by the Centers for Medicare & Medicaid Services (CMS) was accessed via the Medicare Procedure Price Lookup Tool. Current Procedural Terminology (CPT) codes were used to identify shoulder and elbow procedures approved for the outpatient setting by CMS. Procedures were grouped into arthroscopy, fracture, or miscellaneous. Total costs, facility fees, Medicare payments, patient payment (costs not covered by Medicare), and surgeon’s fees were extracted. Descriptive statistics were used to calculate means and standard deviations. Cost differences were analyzed using Mann-Whitney U tests. Results Fifty-seven CPT codes were identified. Arthroscopy procedures (n = 16) at ASCs had significantly lower total costs ($2667 ± $989 vs. $4899 ± $1917; P = .009), facility fees ($1974 ± $819 vs. $4206 ± $1753; P = .008), Medicare payments ($2133 ± $791 vs. $3919 ± $1534; P = .009), and patient payments ($533 ± $198 vs. $979 ± $383; P = .009) compared with HOPDs. Fracture procedures (n = 10) at ASCs had lower total costs ($7680 ± $3123 vs. $11,335 ± $3830; P = .049), facility fees ($6851 ± $3033 vs. $10,507 ± $3733; P = .047), and Medicare payments ($6143 ± $2499 vs. $9724 ± $3676; P = .049) compared with HOPDs, although patient payments were not significantly different ($1535 ± $625 vs. $1610 ± $160; P = .449). Miscellaneous procedures (n = 31) at ASCs had lower total costs ($4202 ± $2234 vs. $6985 ± $2917; P < .001), facility fees ($3348 ± $2059 vs. $6132 ± $2736; P < .001), Medicare payments ($3361 ± $1787 vs. $5675 ± $2635; P < .001), and patient payments ($840 ± $447 vs. $1309 ± $350; P < .001) compared with HOPDs. The combined cohort (n = 57) at ASCs had lower total costs ($4381 ± $2703 vs. $7163 ± $3534; P < .001), facility fees ($3577 ± $2570 vs. $6539.1 ± $3391; P < .001), Medicare payments ($3504 ± $2162 vs. $5892 ± $3206; P < .001), and patient payments ($875 ± $540 vs. $1269 ± $393; P < .001) compared with HOPDs. Conclusion Shoulder and elbow procedures performed at HOPDs for Medicare recipients were found to have average total cost increase of 164% compared with those performed at ASCs (184% savings for arthroscopy, 148% for fracture, and 166% for miscellaneous). ASC use conferred lower facility fees, patient payments, and Medicare payments. Policy efforts to incentivize migration of surgeries to ASCs may translate into substantial health care cost savings. Recent literature has shown the advantages of outpatient surgery for many shoulder and elbow procedures, including cost savings with equivalent safety in appropriately selected patients. Two common settings for outpatient surgeries are ambulatory surgery centers (ASCs), which function as independent financial and administrative entities, or hospital outpatient departments (HOPDs), which are owned and operated by hospital systems. The purpose of this study was to compare shoulder and elbow surgery costs between ASCs and HOPDs. Publicly available data from 2022 provided by the Centers for Medicare & Medicaid Services (CMS) was accessed via the Medicare Procedure Price Lookup Tool. Current Procedural Terminology (CPT) codes were used to identify shoulder and elbow procedures approved for the outpatient setting by CMS. Procedures were grouped into arthroscopy, fracture, or miscellaneous. Total costs, facility fees, Medicare payments, patient payment (costs not covered by Medicare), and surgeon’s fees were extracted. Descriptive statistics were used to calculate means and standard deviations. Cost differences were analyzed using Mann-Whitney U tests. Fifty-seven CPT codes were identified. Arthroscopy procedures (n = 16) at ASCs had significantly lower total costs ($2667 ± $989 vs. $4899 ± $1917; P = .009), facility fees ($1974 ± $819 vs. $4206 ± $1753; P = .008), Medicare payments ($2133 ± $791 vs. $3919 ± $1534; P = .009), and patient payments ($533 ± $198 vs. $979 ± $383; P = .009) compared with HOPDs. Fracture procedures (n = 10) at ASCs had lower total costs ($7680 ± $3123 vs. $11,335 ± $3830; P = .049), facility fees ($6851 ± $3033 vs. $10,507 ± $3733; P = .047), and Medicare payments ($6143 ± $2499 vs. $9724 ± $3676; P = .049) compared with HOPDs, although patient payments were not significantly different ($1535 ± $625 vs. $1610 ± $160; P = .449). Miscellaneous procedures (n = 31) at ASCs had lower total costs ($4202 ± $2234 vs. $6985 ± $2917; P < .001), facility fees ($3348 ± $2059 vs. $6132 ± $2736; P < .001), Medicare payments ($3361 ± $1787 vs. $5675 ± $2635; P < .001), and patient payments ($840 ± $447 vs. $1309 ± $350; P < .001) compared with HOPDs. The combined cohort (n = 57) at ASCs had lower total costs ($4381 ± $2703 vs. $7163 ± $3534; P < .001), facility fees ($3577 ± $2570 vs. $6539.1 ± $3391; P < .001), Medicare payments ($3504 ± $2162 vs. $5892 ± $3206; P < .001), and patient payments ($875 ± $540 vs. $1269 ± $393; P < .001) compared with HOPDs. Shoulder and elbow procedures performed at HOPDs for Medicare recipients were found to have average total cost increase of 164% compared with those performed at ASCs (184% savings for arthroscopy, 148% for fracture, and 166% for miscellaneous). ASC use conferred lower facility fees, patient payments, and Medicare payments. Policy efforts to incentivize migration of surgeries to ASCs may translate into substantial health care cost savings." @default.
- W4383371714 created "2023-07-07" @default.
- W4383371714 creator A5002059324 @default.
- W4383371714 creator A5021152531 @default.
- W4383371714 creator A5021943652 @default.
- W4383371714 creator A5023738696 @default.
- W4383371714 creator A5035557491 @default.
- W4383371714 creator A5039357025 @default.
- W4383371714 creator A5045492905 @default.
- W4383371714 creator A5062631564 @default.
- W4383371714 creator A5068077010 @default.
- W4383371714 creator A5072523338 @default.
- W4383371714 date "2023-10-01" @default.
- W4383371714 modified "2023-10-17" @default.
- W4383371714 title "Costs of shoulder and elbow procedures are significantly reduced in ambulatory surgery centers compared to hospital outpatient departments" @default.
- W4383371714 cites W2545024939 @default.
- W4383371714 cites W2786445240 @default.
- W4383371714 cites W2790233912 @default.
- W4383371714 cites W2968116428 @default.
- W4383371714 cites W2970723496 @default.
- W4383371714 cites W2971280041 @default.
- W4383371714 cites W2996895944 @default.
- W4383371714 cites W3004823916 @default.
- W4383371714 cites W3087447311 @default.
- W4383371714 cites W3092402141 @default.
- W4383371714 cites W3106812268 @default.
- W4383371714 cites W3113359662 @default.
- W4383371714 cites W3126885459 @default.
- W4383371714 cites W3131490696 @default.
- W4383371714 cites W3139345741 @default.
- W4383371714 cites W3141678611 @default.
- W4383371714 cites W3157155011 @default.
- W4383371714 cites W3201849963 @default.
- W4383371714 cites W3204333468 @default.
- W4383371714 cites W3207259221 @default.
- W4383371714 cites W3211911466 @default.
- W4383371714 cites W4211027261 @default.
- W4383371714 cites W4211079455 @default.
- W4383371714 cites W4226356074 @default.
- W4383371714 doi "https://doi.org/10.1016/j.jse.2023.05.039" @default.
- W4383371714 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37422131" @default.
- W4383371714 hasPublicationYear "2023" @default.
- W4383371714 type Work @default.
- W4383371714 citedByCount "0" @default.
- W4383371714 crossrefType "journal-article" @default.
- W4383371714 hasAuthorship W4383371714A5002059324 @default.
- W4383371714 hasAuthorship W4383371714A5021152531 @default.
- W4383371714 hasAuthorship W4383371714A5021943652 @default.
- W4383371714 hasAuthorship W4383371714A5023738696 @default.
- W4383371714 hasAuthorship W4383371714A5035557491 @default.
- W4383371714 hasAuthorship W4383371714A5039357025 @default.
- W4383371714 hasAuthorship W4383371714A5045492905 @default.
- W4383371714 hasAuthorship W4383371714A5062631564 @default.
- W4383371714 hasAuthorship W4383371714A5068077010 @default.
- W4383371714 hasAuthorship W4383371714A5072523338 @default.
- W4383371714 hasConcept C10138342 @default.
- W4383371714 hasConcept C141071460 @default.
- W4383371714 hasConcept C145097563 @default.
- W4383371714 hasConcept C160735492 @default.
- W4383371714 hasConcept C162324750 @default.
- W4383371714 hasConcept C1862650 @default.
- W4383371714 hasConcept C194828623 @default.
- W4383371714 hasConcept C2776534028 @default.
- W4383371714 hasConcept C2779100052 @default.
- W4383371714 hasConcept C2779513377 @default.
- W4383371714 hasConcept C2781184374 @default.
- W4383371714 hasConcept C35785553 @default.
- W4383371714 hasConcept C50522688 @default.
- W4383371714 hasConcept C71924100 @default.
- W4383371714 hasConceptScore W4383371714C10138342 @default.
- W4383371714 hasConceptScore W4383371714C141071460 @default.
- W4383371714 hasConceptScore W4383371714C145097563 @default.
- W4383371714 hasConceptScore W4383371714C160735492 @default.
- W4383371714 hasConceptScore W4383371714C162324750 @default.
- W4383371714 hasConceptScore W4383371714C1862650 @default.
- W4383371714 hasConceptScore W4383371714C194828623 @default.
- W4383371714 hasConceptScore W4383371714C2776534028 @default.
- W4383371714 hasConceptScore W4383371714C2779100052 @default.
- W4383371714 hasConceptScore W4383371714C2779513377 @default.
- W4383371714 hasConceptScore W4383371714C2781184374 @default.
- W4383371714 hasConceptScore W4383371714C35785553 @default.
- W4383371714 hasConceptScore W4383371714C50522688 @default.
- W4383371714 hasConceptScore W4383371714C71924100 @default.
- W4383371714 hasIssue "10" @default.
- W4383371714 hasLocation W43833717141 @default.
- W4383371714 hasLocation W43833717142 @default.
- W4383371714 hasOpenAccess W4383371714 @default.
- W4383371714 hasPrimaryLocation W43833717141 @default.
- W4383371714 hasRelatedWork W1974171884 @default.
- W4383371714 hasRelatedWork W2031296182 @default.
- W4383371714 hasRelatedWork W2103067684 @default.
- W4383371714 hasRelatedWork W2145833305 @default.
- W4383371714 hasRelatedWork W2150198561 @default.
- W4383371714 hasRelatedWork W2281130122 @default.
- W4383371714 hasRelatedWork W3121145236 @default.
- W4383371714 hasRelatedWork W3145365445 @default.
- W4383371714 hasRelatedWork W4200076348 @default.
- W4383371714 hasRelatedWork W4387241509 @default.