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The Effects of Physician-Hospital Integration on Health Care Spending and Use
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Laurence Baker, PhD, Professor, Health Policy and Bing Professor of Human Biology, Stanford University.
Integration between hospitals and physicians has been increasing in the U.S. as hospitals have purchased or formed close contractual relationships with physicians. Hospital-physician integration could have positive or negative effects on health care delivery and costs. We analyze whether physician practices that are vertically integrated with hospitals produce health care for Medicare patients at higher cost than non-integrated practices and whether there are differences in care utilization across these settings. We use Medicare claims data from 2000-2014 for a 20% random sample of traditional (fee-for-service) Medicare beneficiaries. We identify individuals who move from one Hospital Referral Region (HRR) to another, and identify those that switch from an office based practice to a hospital-integrated practice associated with the move.
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Feature Presentation: Transgender Adult Health and Clinical Medicine – State of the Science
- Maddie Deutsch, MD, MPH, Medical Director, UCSF Gender Affirming Health Program, Associate Professor of Clinical Family & Community Medicine University of California – San Francisco
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