Navigation Links
Doctors Can Help Lower Hospital Costs

'Gainsharing' gives physicians cash rewards to keep expenses down, researchers say

TUESDAY, May 13 (HealthDay News) -- Giving doctors cash rewards to reduce hospital spending helps control costs without compromising quality or patients' access to care, according to a five-year study that included more than 220,000 patients.

The study compared six cardiac catheterization labs that implemented this type of "gainsharing" program to 123 non-gainsharing labs.

The researchers, from Arizona State University, found that gainsharing reduced hospital costs by 7.4 percent, or $315 per patient. That means that nationwide use of gainsharing could slash hospital costs for coronary stent patients by about $195 million a year, according to the researchers.

Most of the savings from the gainsharing programs in the study were the result of lower prices for coronary stents. The gainsharing programs didn't lead to any changes in patient referral patterns and didn't increase the overall risk of in-lab complications. In fact, the gainsharing programs were associated with significant decreases in three specific types of complications, the researchers said.

"We found no evidence that gainsharing prompted physicians to avoid patients with existing health problems or pick the healthiest patients," study author Jonathon Ketcham, an assistant professor at the university's School of Health Management and Policy, said in prepared statement.

Further research into gainsharing's effects on other health care quality measures and how it influences doctors' decisions would be valuable, he added.

The study is published in the May/June issue of the journal Health Affairs, a themed issue on health-care reform.

Another study in the issue concluded that doctors in Massachusetts don't face a malpractice premium crisis -- even though the state has the fourth-highest median malpractice settlement payments in the country. Nearly all physicians in the state paid lower inflation-adjusted malpractice premiums in 2005 than in 1990. The findings challenge popular perceptions and assumptions behind legislative proposals to cap malpractice damages awards, said the Suffolk University Law School researchers.

In another study that included a survey of more than 800 doctors, researchers found that primary-care physicians in high-spending health-care regions have more frequent patient return visits, are more likely to recommend screening tests of uncertain benefit, and opt for more resource-intensive management strategies than doctors in low-spending health-care regions.

"Current policy efforts to improve the quality of care and address disparities in spending have focused largely on fostering adherence to clinical guidelines," wrote researcher Brenda Sirovich of the Veterans Affairs Medical Center in White River Junction, Vt., and colleagues. "This study suggests that greater attention to clinical judgment -- and to local factors that are likely to influence physician practice -- will be required."

More information

There's more on U.S. health-care costs at the National Coalition on Health Care.

-- Robert Preidt

SOURCE: Health Affairs, news release, May 13, 2008

Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. UK junior doctors gaining less experience of common procedures
2. Doctors Often Miss High Blood Pressure in Kids
3. One-fourth of HIV patients believe their doctors stigmatize them
4. Annual flu shot cuts need for doctors visits, hospitalization among children
5. Teens need to see their doctors more often
6. Doctors and medical ethicist discuss whether doctors should participate in capital punishment
7. Doctors and Medical Ethicist Discuss Whether Doctors Should Participate in Capital Punishment
8. South Texas Doctors Report More Severe Cases of Community Staph Super Bug Hospitalizing Children
9. Maimonides Expands Circulation of Physicians Practice Journal to Staten Island Doctors
10. Doctors Debate Drugs vs. Surgery for Angina
11. UCI Medical Affiliates Inc. Opens a New Doctors Care Center in Anderson
Post Your Comments:
Related Image:
Doctors Can Help Lower Hospital Costs
(Date:6/25/2016)... ... 2016 , ... Austin residents seeking Mohs surgery services, can now turn to ... Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to ... fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of ...
(Date:6/25/2016)... California (PRWEB) , ... June 25, 2016 , ... "With ... fit their specific project," said Christina Austin - CEO of Pixel Film Studios. ... customizable and all within Final Cut Pro X . Simply select a ProHand ...
(Date:6/25/2016)... Long Beach, CA (PRWEB) , ... June 25, 2016 , ... ... from UCLA with Magna Cum Laude and his M.D from the David Geffen School ... San Diego and returned to Los Angeles to complete his fellowship in hematology/oncology at ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, ... Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments in ... the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott in ...
(Date:6/24/2016)... ... ... A recent article published June 14 on E Online details ... to state that individuals are now more comfortable seeking to undergo not only the ... and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) notes ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016  In a startling report released today, National Safety ... lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... how states are tackling the worst drug crisis in recorded U.S. ... Kentucky , New Mexico , ... Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... Market Analysis 2016 - Forecast to 2022" report to ... report contains up to date financial data derived from varied ... major trends with potential impact on the market during the ... segmentation which comprises of sub markets, regional and country level ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Key Pharma News Issue 52" report to their offering. ... need in influenza treatment creates a favourable commercial environment for ... and growing patient base that will serve to drive considerable ... flu vaccine would serve to cap sales considerably, but development ...
Breaking Medicine Technology: