Managed care's attempts to capture aesthetic surgery.

Area of Science:

• Plastic Surgery
• Health Services Research
• Managed Care

Background:

• Managed care organizations (MCOs) are expanding into aesthetic surgery.
• Understanding the impact of MCOs on the aesthetic surgery market is crucial.

Purpose of the Study:

• To survey plastic surgeons regarding managed care overtures.
• To assess surgeon and patient willingness to participate in MCO aesthetic surgery panels.
• To determine the potential market penetration of MCOs in aesthetic surgery.

Main Methods:

• A survey was distributed to members of the American Society for Aesthetic Plastic Surgery.
• 632 plastic surgeons completed the survey (54.5% response rate).
• Data analyzed to identify factors associated with willingness to participate and anticipated patient behavior.

Main Results:

• 22% of surgeons reported being approached by MCOs.
• Approximately 25% of surgeons would participate in MCO aesthetic surgery panels.
• Factors influencing participation include solo practice, low aesthetic surgery revenue, and competitive markets.
• Surgeons anticipate significant colleague (over 33% to 50%) and patient (24% to 41%) participation.

Conclusions:

• MCOs have the potential to penetrate the aesthetic surgery market from both supplier and consumer sides.
• While most surgeons oppose MCO involvement, a notable portion are willing to participate.
• Plastic surgeons need to understand MCO strategies and develop countermeasures to retain market control.