Physician opt-outs fail to increase access, reduce costs: 3 study insights

A study published in Health Economics Review claims patient access and related cost for anesthesia care were not improved in states that opted-out of a Medicare rule requiring physician supervision for anesthesia administration.

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Morristown, N.J.-based Avalon Health Economics CEO John Schneider led a study assessing the opt-out policy’s impact on access to care and related costs.

Here’s what they found.

1. For inpatient cost, the opt-out variable’s coefficient was consistently positive and statistically significant.

2. The opt-out rule did not increase or decrease access in states.

3. The outpatient access models yielded less consistent results. In some models there was a reduction of access, with others suggesting no associated change.

The researchers concluded that opt-out laws do not improve access to inpatient surgical care or reduce its costs. Concerning outpatient models, the opt-out policies were also not associated with improved access to care.

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