From Health Affairs Today <[email protected]>
Subject Price Increases Driving ED Spending
Date August 14, 2023 8:01 PM
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FOREFRONT: Strengthening Public Health Through Collaboration With
Primary Care: Lessons From The States
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Monday, August 14, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Insiders can join us August 22 for a Journal Club. Register here!
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Price Increases Driving ED Spending

In their article in the August issue of Health Affairs,
<[link removed]>Vivian
Ho and coauthors examine the roles of price increases versus upcoding,
where providers submit codes for more expensive procedures than those
actually administered, as drivers of increased emergency department (ED)
spending.

After analyzing more than three million ED visits across five states,
the authors find that price increases were the largest source of overall
per visit spending increases in Colorado, North Carolina, Ohio, and
Texas, and that upcoding was the largest source of spending increases in
Massachusetts.

These results suggest that hospital pricing power has increased, but
"upcoding was still an important contributor to higher ED spending." The
authors suggest that future research could examine "which
characteristics are associated with price increases or upcoding and
examine whether these two sources of increased spending are correlated."

Read the Article
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Strengthening Public Health Through Collaboration With Primary Care:
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