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Physician Management Companies and Health Care Delivery: Evidence from Anesthesiology

Grant Details

Grantee Organization
Trustees of Columbia University in the City of New York

Principal Investigator
Ambar La Forgia

Term
11/1/20 - 12/31/21

Award Amount
$48,127

Approval Year

Related Program
Controlling Health Care Costs

Topics
Health System Performance and Costs

Grant Details

Grantee Organization
Trustees of Columbia University in the City of New York

Principal Investigator
Ambar La Forgia

Term
11/1/20 - 12/31/21

Award Amount
$48,127

Approval Year

Related Program
Controlling Health Care Costs

Topics
Health System Performance and Costs

This project examines the impact of physician employment and consolidation on spending. Specifically, it will assess the impact of physician management companies (PMCs) that employ anesthesiologists on prices, surprise billing, upcoding, and total spending across hospital inpatient and outpatient facilities and ambulatory surgery centers (ASCs). The project also will consider if outcomes differ between private equity-backed PMCs and those without private equity funding. The analysis will use commercial claims data from the Health Care Cost Institute for years 2011 to 2017 and focus on PMCs that contract with hospitals and ASCs to staff their anesthesia departments. They also will use corporate filing data, mergers and acquisitions data, and Medicare Data on Provider Practice and Specialty to build a panel dataset that identifies whether anesthesiologists staffing a facility are employed by a PMC.

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