by Clare Krusing
March 9, 2016
Washington, D.C. – As overall health spending continues to rise, a new study by America’s Health Insurance Plans (AHIP), published in The American Journal of Managed Care (AJMC), found that price variation based on where a service was performed led to $1.9 billion in additional health care spending on seven commonly-performed medical services in 2013.
The study examined price variations for the same services between hospital outpatient departments and physician offices or ambulatory surgery centers for individuals with employer-sponsored insurance. According to the findings, payments for services performed in hospital outpatient departments were significantly higher than payments for the same service performed in a physician’s office.
Key findings include:
To view the full study, click here.
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The American Journal of Managed Care is the leading peer-reviewed journal dedicated to issues in managed care. AJMC.com distributes healthcare news to leading stakeholders across a variety of platforms. Other titles in the franchise include The American Journal of Accountable Care, which publishes research and commentary on innovative healthcare delivery models facilitated by the 2010 Affordable Care Act. AJMC’s Evidence-Based series brings together stakeholder views from payers, providers, policymakers and pharmaceutical leaders in oncology and diabetes management. To order reprints of articles appearing in AJMC publications, please call (609) 716-7777, x 131.
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