• Health Care Manage Rev · Oct 2004

    Comparative Study

    A simplified analysis to determine the impact of surgical procedure time on pediatric anesthesia productivity.

    • B Randall Brenn and Stephen T Lawless.
    • Department of Pediatric Anesthesia and Critical Care, Alfred I duPont Hospital for Children, Nemours Children's Clinic, Wilmington, Delaware, USA. brbrenn@nemours.org
    • Health Care Manage Rev. 2004 Oct 1;29(4):270-7.

    AbstractWith fee-for-service (FFS) reimbursement, anesthesiologists benefit financially from cases that take longer than expected. Capitation, or fixed anesthesia reimbursement (FAR), might result in financial losses for such inefficient cases. In this investigation, we used the Centers for Medicare and Medicaid Services' average anesthesia times as benchmarks for efficiency and examined case time characteristics for three surgical services: otorhinolaryngology, general surgery, and orthopedics. Our model demonstrated that some inefficient cases would be better billed FAR rather than FFS.

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