Cambridge, MA (PRWEB) May 11, 2012
Orthopedic surgeons who owned ambulatory surgical centers (ASC) did between 52 and 111 percent more surgery than orthopedic surgeons who were not owners. One of the more important reasons for this is the financial incentives arising from ownership, according to a new study of ASCs in Florida from the Workers Compensation Research Institute (WCRI). Surgeons who are owners not only are paid the surgeon?s fee, but also receive a share of the profits of the surgery center.
The study, Why Surgeon Owners of Ambulatory Surgical Centers Do More Surgery Than Non-Owners, examined 941 surgeons ? some of whom ultimately became owners of surgery centers. It compared the number of knee, shoulder, and wrist surgeries that each surgeon did before becoming an owner with the number performed after becoming an owner. The study found that the average surgeon did 14-22 percent more surgery after becoming an ASC owner. The study did not determine whether or not these additional surgeries were necessary.
The study also found other important reasons why orthopedic surgeons who own ASCs do more surgery than orthopedic surgeons who are not owners. According to the study?s author, Dr. Christine Yee, ?ASCs are more likely to recruit high-volume surgeons to become owners. Similarly, high-volume surgeons are more likely to become owners of surgery centers.? Dr. Yee also noted that surgery centers are often more efficient than hospital outpatient departments, so the surgeons were able to schedule and perform more surgeries once they were affiliated with surgery centers.
?This is just one example of physician self-referral ? a growing issue being addressed by state and federal policymakers concerned about spiraling health care costs,? commented Dr. Richard Victor, the Institute?s Executive Director. ?As payers limit price increases for physician services, the physicians look for other avenues to supplement their income ? ownership of surgery centers and MRI facilities as well as physician dispensing of prescription drugs have become much more common.?
For more information regarding this report or to purchase it, visit: http://www.wcrinet.org.
ABOUT WCRI:
The Workers Compensation Research Institute (WCRI) is an independent, not-for-profit research organization based in Cambridge, MA. WCRI is recognized as a leader in providing objective, credible, and high-quality information about public policy issues involving workers’ compensation systems. WCRI’s members include employers; insurers; governmental entities; managed care companies; health care providers; insurance regulators; state labor organizations; and state administrative agencies in the U.S., Canada, Australia, and New Zealand. For more information about WCRI, visit: http://www.wcrinet.org.
National bestselling author, the incomparable Mary Daheim, makes her long-awaited hardcover debut with a cozy mystery nonpareil. Plucky bed-and-breakfast hostess Judith McMonigle Flynn and her acerbic cousin Renie are examining Big Bad Medicine, So hang on to your gurney…and check your vital signs at the door!Judith McMonigle Flynn is despondent as the winter blahs set in with a vengeance. A bum hip has forced her to shut down Hillside Manor temporarily and limp off to Good Cheer Hospital for a much needed operation. It’s the very same “haven of healing” where a famous actress recently kicked the bucket after routine foot surgery, and where an ace baseball pitcher in for an elbow operation was tossed out of the game…permanently. Judith is certain that her scheduled date with a scalpel has placed her at the top of the Grim Reaper’s “hip list.” At least she’s not alone. Cousin Renie is checking in — though hopefully not checking out — at the same time to have a shoulder surgically corrected, but that’s small consolation at best.Good Cheer, it seems, is anything but. With one look at the medieval wreck of a place administered by a doddering collection of clergy, Judith is convinced that she and Renie will be lucky if they’re rolled out of the OR alive. But they are — though the same good fortune does not extend to an ex-pro football quarterback, who is sacked by fatal knee surgery, the third improbable, high-profile demise in less than a month.Since they are stuck in this chamber of Hippocratic horrors for a while, Judith feels it’s hers and Renie’s duty to get to the bottom of the Good Cheer carnage. What they discover is that the list of potentialAngels of Death is quite extensive indeed, incorporating not-so-well-wishing relations, potentially homicidal hospital volunteers, deadly docs…even the puffed up, corporate-ladder-climbing chief of staff himself. But as the mortality rate rises — along with Judith’s blood pressure
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