Navigation Links
Doctors Can Help Lower Hospital Costs
Date:5/13/2008

'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:
*Name:
*Comment:
*Email:
Related Image:
Doctors Can Help Lower Hospital Costs
(Date:10/13/2017)... ... October 13, 2017 , ... ProVest Insurance ... greater Dallas, Miami, and Raleigh regions, is organizing an extended charity drive to ... and deadly chromosome abnormality. , After struggling since birth with several health challenges, ...
(Date:10/13/2017)... Ky. (PRWEB) , ... October 13, 2017 , ... The ... MPH to become its next President and Chief Executive Officer, succeeding Dr. James C. ... CEO Elect beginning July 1, 2018 until Dr. Puffer’s retirement at the end of ...
(Date:10/13/2017)... ... October 13, 2017 , ... Lori R. Somekh, founder of ... ElderCounsel, a national organization of elder law and special needs planning attorneys. “Membership in ... It also provides a forum to network with elder law attorneys nationwide,” said Somekh. ...
(Date:10/13/2017)... ... 13, 2017 , ... Ellevate Network, the leading network for professional women, brought ... gender equality at their inaugural Summit in New York City in June. The event ... audience of over 3 million. To watch the Mobilize Women video, click here ...
(Date:10/13/2017)... VA (PRWEB) , ... October 13, 2017 , ... ... of DevOps and Agile Software Development, has been awarded a contract by the ... Blanket Purchase Agreement (BPA) aims to accelerate the enterprise use of Agile methodologies ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... 12, 2017 AVACEN Medical , Inc. (AVACEN) ... their  2017 New Product Innovation Award for Its fibromyalgia ... and secondary medical device market research by Frost & Sullivan,s ... OTC, drug-free pain relief product, the AVACEN 100, offers a ... fibromyalgia widespread pain. ...
(Date:10/11/2017)... 2017  True Health, a leader in integrated ... during National Breast Cancer Awareness month to educate ... Research recently published ... more than 10 million American women are at ... or BRCA2 and have not had testing. These mutations ...
(Date:10/5/2017)...  In response to the nationwide opioid epidemic, ... (AAOMS) released prescribing recommendations that urge ibuprofen – ... a first-line therapy to manage a patient,s acute ... Recognizing the value and importance of the ... Acute and Postoperative Pain Management" stresses that practitioners ...
Breaking Medicine Technology: