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Economic impact of converting an interventional pain medicine physician office-based practice into a provider-based ambulatory pain practice.

Abstract：

BACKGROUND:One consequence of the shifting economic health care landscape is the growing trend of physician employment and practice acquisition by hospitals. These acquired practices are often converted into hospital- or provider-based clinics. This designation brings the increased services of the hospital, the accreditation of the hospital, and a new billing structure verses the private clinic (the combination of the facility and professional fee billing). One potential concern with moving to a provider-based designation is that this new structure might make the practice less competitive in a marketplace that may still be dominated by private physician office-based practices. The aim of the current study was to evaluate the impact of the provider-based/hospital fee structure on clinical volume. OBJECTIVE:Determine the effect of transition to a hospital- or provider-based practice setting (with concomitant cost implications) on patient volume in the current practice milieu. SETTING: Community hospital-based academic interventional pain medicine practice. STUDY DESIGN:Economic analysis of effect of change in price structure on clinical volumes. METHODS:The current study evaluates the effect of a change in designation with price implications on the demand for clinical services that accompany the transition to a hospital-based practice setting from a physician office setting in an academic community hospital. RESULTS:Clinical volumes of both procedures and clinic volumes increased in a mature practice setting following transition to a provider-based designation and the accompanying facility and professional fee structure. Following transition to a provider-based designation clinic visits were increased 24% while procedural volume demand did not change. LIMITATIONS:Single practice entity and single geographic location in southeastern United States. CONCLUSIONS:The conversion to a hospital- or provider-based setting does not negatively impact clinical volume and referrals to community-based pain medicine practice. These results imply that factors other than price are a driver of patient choice.

journal_name

Pain Physician

journal_title

Pain physician

authors

Grider JS,Findley KA,Higdon C,Curtright J,Clark DP

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

E253-61

issue

eissn

1533-3159

issn

2150-1149

journal_volume

pub_type

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Economic impact of converting an interventional pain medicine physician office-based practice into a provider-based ambulatory pain practice.