Prices for many mangoes According to a new study, medical procedures tend to be higher in areas where physicians are concentrated in larger practice groups.
October Health case study Investigated average county prices paid by preferred provider insurance organizations in 2010. It focused on 15 high-volume, high-cost medical procedures on a variety of specialties, including vasectomy, laparoscopic appendectomy, wound removal with colonoscopy, nasal septum repair, cataract removal. And knee replacement.
The prices studied reflect negotiated prices between PPO and physician groups, including payments made by both the plan and the patient. The average price for a total knee replacement for a vasectomy ranged from $ 2,301 to $ 576.
Researchers used an index to measure competition between physician practices at the county level based on the number and size of practices. They then examined the association between process prices and the concentration of physicians in larger practices.
The study found that in 12 of the 15 procedures, prices were 8 to 26 percent higher in counties with the highest average physician concentration than counties with higher average concentration. Three procedures where there was no significant relationship between physician competition and price were intensity-modulated radiation therapy, shoulder arthroscopy, and renal stone fragmentation. The authors of the study stated that larger practices may have the resources to provide benefits to patients through better care coordination or access to new technologies, but the greater market power of these practices enable them to charge a higher price than smaller practices The study authors said.
This study demonstrates a growing body of research that demonstrates Comprehensive changes in medical prices The same process or test is done based on several factors, including where a process is done and who does it.
For consumers who are increasingly facing Medical deductibles Lawrence Baker, president and co-author of the Department of Health Research and Policy at Stafford University, says $ 1000 or more – in addition to copyright and coinsurance – the price of a process can be important in determining where it has performed. study. “The prices for processes that people usually use vary greatly,” he says. “With the amount of time you have, there are a lot of cases where you can save thousands of dollars”.