Charges for Initial Visits for Uninsured Patients at Musculoskeletal Urgent Care Centers in the US

Yousman, Laurie; Hsiang, Walter; Khunte, Akshay; Najem, Michael; Jin, Grace; Mosier-Mills, Alison; Jain, Siddharth; Wiznia, Daniel H.

doi:10.1001/jamanetworkopen.2022.9968

Cited by 3 publications

(3 citation statements)

References 7 publications

(39 reference statements)

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“…Similarly, larger providers acquiring smaller practices may be able to negotiate higher reimbursement rates from payers, which also can result in higher costs for patients 24,25 . Additionally, with fewer independent orthopaedic practices, patients may have fewer options for care, which could lead to longer wait times or limited access to specialized services 26 .…”

Section: The Effect Of Consolidationmentioning

confidence: 99%

AOA Critical Issues Symposium: The Dynamic Environment of Health Care

Lundy,

Jevsevar,

Porter

et al. 2024

Journal of Bone and Joint Surgery

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The dynamic health-care environment continues to undergo disruptive change. As the health-care system emerges from the pandemic, underlying issues have progressively become critical. Private equity acquisition is dramatically increasing, and consolidation in the entire health-care system limits choice and access. Challenges in the workforce and supply chain persist, adding pressure on already strained health-care organizations. Innovative solutions are required to provide equitable value-based access to orthopaedic care.

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Section: The Effect Of Consolidationmentioning

confidence: 99%

AOA Critical Issues Symposium: The Dynamic Environment of Health Care

Lundy,

Jevsevar,

Porter

et al. 2024

Journal of Bone and Joint Surgery

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“…Audit methodologies have also been used to investigate wait times and costs in both inpatient and outpatient healthcare institutions. 18,31,32 Training actual patients to serve as auditors could avoid ethical challenges regarding the provision of false information, misuse of limited healthcare resources, and considerable costs of multiple provider visits. 33 One challenge to such an approach may be difficulty recruiting enough people with the specific condition to serve as auditors.…”

Section: Audit Settings and Outcomesmentioning

confidence: 99%

“…In all cases, auditors interacted with clinic staff to inquire about prescriber appointment availability and whether they could expect to receive a prescription during their first visit. Audit methodologies have also been used to investigate wait times and costs in both inpatient and outpatient healthcare institutions 18,31,32 . Training actual patients to serve as auditors could avoid ethical challenges regarding the provision of false information, misuse of limited healthcare resources, and considerable costs of multiple provider visits 33 .…”

Section: Audit Settings and Outcomesmentioning

confidence: 99%

Research and scholarly methods: Audit studies

Loera

Hill

Evoy

et al. 2023

J Am Coll Clin Pharm

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Audit study methodologies have been utilized in pharmacy field research to obtain greater understanding of potential gaps in real‐world care and assess the accessibility of medications, services, and providers. Many audit studies utilize a secret‐shopper approach in which auditors follow specific assessment protocols and the subjects being audited are unaware of the audit taking place. The benefit of utilizing this approach, as compared to surveys or interviews, is that researchers are able to collect real‐world measures with minimized social desirability and recall biases. There are multiple audit study approaches investigators must consider. Additionally, successful audit studies often rely upon congruence of multiple auditors, and it is therefore essential to develop a study protocol that includes detailed guidance documents, data collection tools, and rigorous training and fidelity assessments. Audit methodologies must be conducted with meticulous auditor training and oversight, especially when investigators seek to audit a large sample and rely on auditors who may be participating on an unpaid volunteer basis. The purpose of this review is to provide an orientation to audit study methodologies and to describe best practices for conducting a successful audit study.

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Achieving Health Equity: Combatting the Disparities in American Access to Musculoskeletal Care

Faust,

2024

Curr Rev Musculoskelet Med

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Charges for Initial Visits for Uninsured Patients at Musculoskeletal Urgent Care Centers in the US

Abstract: This survey study assesses out-of-pocket costs and factors associated with these costs for a first visit to a musculoskeletal urgent care center for uninsured and underinsured patients in the US.

Cited by 3 publications

References 7 publications

AOA Critical Issues Symposium: The Dynamic Environment of Health Care

AOA Critical Issues Symposium: The Dynamic Environment of Health Care

Research and scholarly methods: Audit studies

Achieving Health Equity: Combatting the Disparities in American Access to Musculoskeletal Care

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