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Neurosurgical Practice in Transition: A Review
Dong H Kim1, T Forcht Dagi2, James R Bean3
1Department of Neurosurgery, The University of Texas Medical School at Houston, Houston, Texas.
Neurosurgery
|April 5, 2017
Summary
Neurosurgery is shifting towards value-based care, with changing payment models like population health and increased patient costs. Independent practices will decline as physicians integrate with larger organizations.
Area of Science:
- Healthcare Economics
- Neurosurgical Practice Management
Background:
- The US healthcare system faces scrutiny for waste and low value.
- Accurate measurement of quality and long-term outcomes is increasingly believed possible.
Purpose of the Study:
- To review the significant shifts occurring in neurosurgery.
- To discuss the consequences of these changes for practice and reimbursement.
Main Methods:
- Review of current trends and forces impacting neurosurgery.
- Analysis of changing payment models and practice structures.
Main Results:
- Neurosurgical practices are transitioning from fee-for-service to population health models.
- Independent neurosurgical practices are declining, with increased physician integration into larger organizations.
- Patient out-of-pocket costs are rising, influencing treatment choices and network participation.
Conclusions:
- The practice of neurosurgery is evolving due to economic pressures and quality measurement.
- Adaptation to new payment models and organizational structures is crucial for neurosurgical practices to thrive.
