Health Payer Intelligence September 20, 2023
By billing technical services separately, hospital outpatient department costs for coloscopy screenings were 47 percent higher than in the ASC or provider settings.
Given the significant difference between cost of care in hospital outpatient department settings compared to other settings for the same services, site-neutral payments could reduce healthcare spending, an analysis from Blue Cross Blue Shield Association (BCBSA) found.
The researchers from Blue Health Intelligence, BCBSA’s data analytics and software-as-a-service company, assessed data from 133 million commercially-insured lives. The data spanned 2017 to 2022, except for office visit data which came from 2014 to 2022. The researchers excluded Medicaid and Medicare Advantage beneficiaries.
More specifically, they assessed the change in price over time for six service categories and tracked...
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