Evidence map›Paper›PMID 30103654›Full record

ArticleMedical care research and review : MCRR2020

Reference-Based Benefits for Colonoscopy and Arthroscopy: Large Differences in Patient Payments Across Procedures but Similar Behavioral Responses.

Timothy T Brown, Chaoran Guo, Christopher Whaley

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Impact of Reference Pricing on Cost and Quality in Total Joint Arthroplasty.The Journal of bone and joint surgery. American volume · 2019
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Timothy T BrownUniversity of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-5334-0768
Chaoran GuoUniversity of California, Berkeley, Berkeley, CA, USA.
Christopher WhaleyUniversity of California, Berkeley, Berkeley, CA, USA.

Funding

The Impact of Reference Pricing on High Cost Medical ProceduresR01HS022098 · AHRQ · UNIVERSITY OF CALIFORNIA BERKELEY · PI BROWN, TIMOTHY TYLER · 2014 to 2018
$1.1M
The Effects of Insurance Benefit Design Innovation on Patient HealthK01AG061274 · NIA · RAND CORPORATION · PI WHALEY, CHRISTOPHER · 2019 to 2023
$649k
Using Big Data to Estimate the Effects of Complex Cost-Sharing Rules on Colorectal Cancer Screening and Patient HealthR21CA219229 · NCI · RAND CORPORATION · PI WHALEY, CHRISTOPHER · 2017 to 2018
$414k
AHRQ HHS R01 HS022098NCI NIH HHS R21 CA219229NIA NIH HHS K01 AG061274
6 · The paper itself

Abstract

This study examines how reference-based benefits (RBB) affect patient out-of-pocket payments across outpatient procedures. The California Public Employees' Retirement System (CalPERS) implemented RBB asymmetrically for outpatient procedures in 2012, only applying RBB to outpatient procedures performed in a hospital outpatient department (HOPD), and not applying RBB to outpatient procedures performed in a lower cost ambulatory surgery center. Using claims data (2009-2013) on arthroscopy and colonoscopy services, we found that for colonoscopy, CalPERS patients paid an average of 63.9% (

Indexed as

Ambulatory Surgical ProceduresArthroscopyColonoscopyCost SharingCaliforniaFemaleHealth ExpendituresHospitalsHumansMaleMiddle Agedcost sharingdifference-in-differencesreference pricing

Identifiers

PMID30103654
PMCPMC7853083

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.