Cost Effectiveness of Anesthesia Providers and Implications of Scope of Practice in a Medicare Population

Executive Summary * An updated version of a simulation model (Hogan, Furst Seifert, Moore, & Simonson, 2010) is introduced for estimating the costs of various anesthesia delivery models. * The parameters of this cost-effectiveness model were updated to reflect the latest available data. * The di...

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Bibliographic Details
Published in:Nursing economic 2018-03, Vol.36 (2), p.67-73
Main Authors: Cintina, Inna, Hogan, Paul F, Schroeder, Caryl, Simonson, Brian E, Quraishi, Jihan A
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Cost analysis
Cost benefit analysis
Cost control
Economic aspects
Evaluation
Health care expenditures
Medical personnel
Medicare
Postal & delivery services
Reimbursement
Scope of practice
Simulation
Supervision
Wages & salaries
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Summary:Executive Summary * An updated version of a simulation model (Hogan, Furst Seifert, Moore, & Simonson, 2010) is introduced for estimating the costs of various anesthesia delivery models. * The parameters of this cost-effectiveness model were updated to reflect the latest available data. * The distribution of anesthesia delivery model types varies across states depending on several factors such as state scope of practice laws, facility policy, and supply of anesthesia providers. * Using the anesthesia delivery-model distribution observed by state for Medicare, data revealed elimination of medical direction and supervisory delivery models, allowing certified registered nurse anesthetists to practice to the full extent of their training, substantially reduces costs associated with anesthesia delivery.
ISSN:0746-1739