Can survey data be used to estimate physician practice costs?

Abstract:

:Health policy makers rely on survey estimates of physician practice costs to set reimbursement rates. The Health Care Financing Administration has just funded a multimillion dollar effort to collect survey data that will be used to revise payments under the Medicare Fee Schedule. However, the ability of large-scale physician surveys to obtain accurate information about practice costs is not apparent. This article examines several of the key obstacles encountered when trying to obtain accurate estimates. Rates of both unit and item nonresponse over time are described; in general, there is a trend toward lower unit response rates and higher item response rates. The article also examines logical inconsistencies in data. The results suggest that physician surveys may not be the most appropriate source of data about physician practice expenses. Health policy makers concerned about provider reimbursement issues should seriously scrutinize the accuracy of results from physician practice cost surveys. This article concludes by suggesting alternative methodologies for incorporating physician practice costs into reimbursement rates.

journal_name

Eval Health Prof

authors

Berk ML,Mueller CD,Thran S

doi

10.1177/016327879601900102

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

14-29

issue

1

eissn

0163-2787

issn

1552-3918

journal_volume

19

pub_type

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