• Med Care Res Rev · Apr 2017

    Ambulatory Surgery Centers and Prices in Hospital Outpatient Departments.

    • Kathleen Carey.
    • 1 Boston University School of Public Health, Boston, MA, USA.
    • Med Care Res Rev. 2017 Apr 1; 74 (2): 236-248.

    AbstractSpecialty providers claim to offer a new competitive benchmark for efficient delivery of health care. This article explores this view by examining evidence for price competition between ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). I studied the impact of ASC market presence on actual prices paid to HOPDs during 2007-2010 for four common surgical procedures that were performed in both provider types. For the procedures examined, HOPDs received payments from commercial insurers in the range of 3.25% to 5.15% lower for each additional ASC per 100,000 persons in a market. HOPDs may have less negotiating leverage with commercial insurers on price in markets with high ASC market penetration, resulting in relatively lower prices.

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