Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2941 |
来源ID | RR-2941-CMS |
Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report | |
Courtney A. Gidengil; Andrew W. Mulcahy; Ateev Mehrotra; Susan L. Lovejoy | |
发表日期 | 2019-07-31 |
出版年 | 2019 |
页码 | 110 |
语种 | 英语 |
结论 |
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摘要 | For many surgeries and procedures, Medicare and most other insurers cover a bundle of services, including post-operative visits, during the global period. As part of 2015 MACRA legislation, Congress mandated that the Centers for Medicare & Medicaid Services (CMS) collect data on the number and level of post-operative visits delivered in the global period to assess accuracy of payment. Among other efforts, CMS conducted a practitioner survey to assess the level of visits, using three procedures as proof of concept: cataract surgery, hip arthroplasty, and complex wound repair. ,Using data reported via the survey, the authors found that reported physician time and work for cataract surgery and hip replacement post-operative visits were generally similar — but slightly less — than the levels expected based on the evaluation and management visits assumed to typically occur when valuing these procedures. Reported physician time and work for complex wound repair post-operative visits were higher than Physician Time File levels. ,Based on experiences with various approaches to collecting data on the level of post-operative visits as well as the status quo, the authors suggest thinking of these data collection methods as a spectrum with both benefits and trade-offs. Given the strengths and weaknesses of these approaches, the authors recommend consideration of a claims-based approach coupled with information about the level of service or the use of G-codes. A survey instrument could serve as a complement to a claims-based approach for procedures or groups of procedures for which valuation is thought to be particularly problematic. |
目录 |
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主题 | Health Care Costs ; Health Care Payment Approaches ; Medicare ; Physicians |
URL | https://www.rand.org/pubs/research_reports/RR2941.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523859 |
推荐引用方式 GB/T 7714 | Courtney A. Gidengil,Andrew W. Mulcahy,Ateev Mehrotra,et al. Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report. 2019. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2941.pdf(1024KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1612530736349.jpg(4KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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