{"id":"https://openalex.org/W1900518820","doi":"https://doi.org/10.1177/0194599815578102","title":"Practice Arrangement and Medicare Physician Payment in Otolaryngology","display_name":"Practice Arrangement and Medicare Physician Payment in Otolaryngology","publication_year":2015,"publication_date":"2015-06-01","ids":{"openalex":"https://openalex.org/W1900518820","doi":"https://doi.org/10.1177/0194599815578102","mag":"1900518820","pmid":"https://pubmed.ncbi.nlm.nih.gov/26034098"},"language":"en","primary_location":{"id":"doi:10.1177/0194599815578102","doi":"https://doi.org/10.1177/0194599815578102","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0194599815578102","pdf_url":null,"source":{"id":"https://openalex.org/S200877091","display_name":"Otolaryngology","issn_l":"0161-6439","issn":["0161-6439","0194-5998","1085-8679","1097-6817"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology\u2013Head and Neck Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022685494","display_name":"Jennifer R. Cracchiolo","orcid":"https://orcid.org/0000-0003-4496-906X","observed_orcids":["https://orcid.org/0000-0003-4496-906X"]},"institutions":[{"id":"https://openalex.org/I4210117083","display_name":"Temple University Hospital","ror":"https://ror.org/028rvnd71","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210117083","https://openalex.org/I4210122924"]},{"id":"https://openalex.org/I4210122924","display_name":"Temple University Health System","ror":"https://ror.org/02fhvxj45","country_code":"US","type":"education","lineage":["https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Cracchiolo","raw_affiliation_strings":["Department of Otolaryngology Temple University Hospital Temple University Health System Philadelphia Pennsylvania USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Temple University Hospital Temple University Health System Philadelphia Pennsylvania USA","institution_ids":["https://openalex.org/I4210117083","https://openalex.org/I4210122924"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058702476","display_name":"John Andrew Ridge","orcid":"https://orcid.org/0000-0002-5527-3546","observed_orcids":["https://orcid.org/0000-0002-5527-3546"]},"institutions":[{"id":"https://openalex.org/I1289437631","display_name":"Fox Chase Cancer Center","ror":"https://ror.org/0567t7073","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]},{"id":"https://openalex.org/I4210122924","display_name":"Temple University Health System","ror":"https://ror.org/02fhvxj45","country_code":"US","type":"education","lineage":["https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John A. Ridge","raw_affiliation_strings":["Department of Surgical Oncology Fox Chase Cancer Center The Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Oncology Fox Chase Cancer Center The Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA","institution_ids":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010363332","display_name":"Brian Lee Egleston","orcid":"https://orcid.org/0000-0002-1633-799X","observed_orcids":["https://orcid.org/0000-0002-1633-799X"]},"institutions":[{"id":"https://openalex.org/I1289437631","display_name":"Fox Chase Cancer Center","ror":"https://ror.org/0567t7073","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]},{"id":"https://openalex.org/I4210122924","display_name":"Temple University Health System","ror":"https://ror.org/02fhvxj45","country_code":"US","type":"education","lineage":["https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian Egleston","raw_affiliation_strings":["Department of Biostatistics Fox Chase Cancer Center Temple University Health System Philadelphia Pennsylvania USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics Fox Chase Cancer Center Temple University Health System Philadelphia Pennsylvania USA","institution_ids":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086320684","display_name":"Miriam N. Lango","orcid":"https://orcid.org/0000-0003-0736-7473","observed_orcids":["https://orcid.org/0000-0003-0736-7473"]},"institutions":[{"id":"https://openalex.org/I1289437631","display_name":"Fox Chase Cancer Center","ror":"https://ror.org/0567t7073","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]},{"id":"https://openalex.org/I4210122924","display_name":"Temple University Health System","ror":"https://ror.org/02fhvxj45","country_code":"US","type":"education","lineage":["https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Miriam Lango","raw_affiliation_strings":["Department of Surgical Oncology Fox Chase Cancer Center The Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Oncology Fox Chase Cancer Center The Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA","institution_ids":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5086320684"],"corresponding_institution_ids":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"],"apc_list":{"value":3600,"currency":"USD","value_usd":3600},"apc_paid":null,"fwci":5.2177,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.95136466,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"152","issue":"6","first_page":"979","last_page":"987"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare-physician-payment","display_name":"Medicare physician payment","score":0.8519999980926514},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.7089999914169312},{"id":"https://openalex.org/keywords/independent-practice","display_name":"independent practice","score":0.8180000185966492},{"id":"https://openalex.org/keywords/physician-reimbursement","display_name":"physician reimbursement","score":0.703000009059906},{"id":"https://openalex.org/keywords/patient-volume","display_name":"patient volume","score":0.8629999756813049},{"id":"https://openalex.org/keywords/risk-adjustment","display_name":"risk adjustment","score":0.7490000128746033}],"concepts":[{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.7174866795539856},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.6833711862564087},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6655991077423096},{"id":"https://openalex.org/C2780642338","wikidata":"https://www.wikidata.org/wiki/Q7632042","display_name":"Subspecialty","level":2,"score":0.665143609046936},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.6437009572982788},{"id":"https://openalex.org/C2910449239","wikidata":"https://www.wikidata.org/wiki/Q559392","display_name":"Medicare Part B","level":3,"score":0.556511402130127},{"id":"https://openalex.org/C108516343","wikidata":"https://www.wikidata.org/wiki/Q189553","display_name":"Otorhinolaryngology","level":2,"score":0.46766841411590576},{"id":"https://openalex.org/C186711583","wikidata":"https://www.wikidata.org/wiki/Q7315782","display_name":"Resource-based relative value scale","level":2,"score":0.4225967824459076},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.22338631749153137},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19004783034324646},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.18530982732772827},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.13253024220466614},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.08064442873001099},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000046","descriptor_name":"Academic Medical Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000704","descriptor_name":"Analysis of Variance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010036","descriptor_name":"Otolaryngology","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D010036","descriptor_name":"Otolaryngology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011445","descriptor_name":"Prospective Payment System","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011445","descriptor_name":"Prospective Payment System","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016014","descriptor_name":"Linear Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1177/0194599815578102","doi":"https://doi.org/10.1177/0194599815578102","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0194599815578102","pdf_url":null,"source":{"id":"https://openalex.org/S200877091","display_name":"Otolaryngology","issn_l":"0161-6439","issn":["0161-6439","0194-5998","1085-8679","1097-6817"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology\u2013Head and Neck Surgery","raw_type":"journal-article"},{"id":"pmid:26034098","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26034098","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery","raw_type":"Journal Article"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.874.3420","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.874.3420","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://oto.sagepub.com/content/152/6/979.full.pdf","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G9000285491","display_name":"Comprehensive Cancer Center Program at Fox Chase","funder_award_id":"P30CA006927","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1970716113","https://openalex.org/W1974899557","https://openalex.org/W1997953768","https://openalex.org/W2011746683","https://openalex.org/W2013277991","https://openalex.org/W2015713911","https://openalex.org/W2037164372","https://openalex.org/W2037557484","https://openalex.org/W2048860286","https://openalex.org/W2051856225","https://openalex.org/W2055495829","https://openalex.org/W2073028009","https://openalex.org/W2081851888","https://openalex.org/W2092437913","https://openalex.org/W2096119040","https://openalex.org/W2111795693","https://openalex.org/W2123250746","https://openalex.org/W2132261853","https://openalex.org/W2170369009","https://openalex.org/W2324002663","https://openalex.org/W2335477057","https://openalex.org/W4233990298","https://openalex.org/W4236689649"],"related_works":["https://openalex.org/W7095070337","https://openalex.org/W1591261688","https://openalex.org/W2903004677","https://openalex.org/W4404722875","https://openalex.org/W2411894062","https://openalex.org/W1525153383","https://openalex.org/W2954515314","https://openalex.org/W3045865160","https://openalex.org/W7203666904","https://openalex.org/W4411681625"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Medicare":[1,10,38,46,242],"Part":[2],"B":[3,192],"physician":[4,14,18,39,85,116,153],"payment":[5,50,112],"indicates":[6],"a":[7,13,65],"cost":[8,256],"to":[9,27,74,128,137,143,158,169,188,206,218,232,266],"beneficiaries":[11],"for":[12,117,150,246],"service":[15],"and":[16,37,49,155,201],"connotes":[17],"clinical":[19],"productivity.":[20],"The":[21],"objective":[22],"of":[23,64,78,106,257],"this":[24],"study":[25],"was":[26,31,72,113],"determine":[28,75],"whether":[29],"there":[30],"an":[32,97,233],"association":[33],"between":[34],"practice":[35],"arrangement":[36],"payment.":[40,86],"STUDY":[41],"DESIGN:":[42],"Cross-sectional":[43],"study.":[44,67],"SETTING:":[45],"provider":[47],"utilization":[48],"data.":[51],"SUBJECTS":[52],"AND":[53],"METHODS:":[54],"Otolaryngologists":[55],"from":[56,249],"1":[57,105,131],"metropolitan":[58],"area":[59],"were":[60,102,134,148,164,224],"included":[61],"as":[62],"part":[63,265],"pilot":[66],"A":[68,173],"generalized":[69],"linear":[70],"model":[71],"used":[73],"the":[76,118,221,255],"effect":[77],"practice-specific":[79],"variables":[80],"including":[81],"patient":[82,151,247],"volumes":[83],"on":[84,235],"RESULTS:":[87],"Of":[88],"67":[89],"otolaryngologists":[90],"included,":[91],"23":[92],"(34%)":[93],"provided":[94],"services":[95],"through":[96],"independent":[98,144,207],"practice,":[99],"while":[100],"others":[101],"employed":[103],"by":[104],"3":[107],"local":[108],"academic":[109,132,258],"centers.":[110],"Median":[111],"$58,895":[114],"per":[115],"year,":[119],"although":[120],"some":[121],"physicians":[122,219],"received":[123],"substantially":[124],"higher":[125,135,167,186,204],"payments.":[126],"Reimbursements":[127],"faculty":[129,160,189],"at":[130,139,161,171,190],"department":[133],"than":[136,168,187,205],"those":[138,170],"other":[140,222],"institutions":[141],"or":[142],"practitioners.":[145],"After":[146],"adjustments":[147,245],"made":[149],"volumes,":[152],"subspecialty,":[154],"gender,":[156],"payments":[157],"each":[159],"Hospital":[162,172,191],"C":[163],"2":[165,184],"times":[166,185,203],"(relative":[174],"ratio":[175],"[RR]":[176],"2.03;":[177],"95%":[178,195,211],"CI,":[179,196,212],"1.27-3.27;":[180],"P":[181,198,214],"=":[182,199,215],".003);":[183],"(RR":[193,209],"2.04;":[194],"1.4-2.7;":[197],".0001);":[200],"1.6":[202],"practitioners":[208],"1.6;":[210],"1.04-2.7;":[213],".03).":[216],"Payments":[217],"in":[220,229,254,264],"groups":[223],"not":[225,241],"significantly":[226],"different.":[227],"Differences":[228],"reimbursement":[230],"corresponded":[231],"emphasis":[234],"procedures":[236],"over":[237],"office":[238],"visits":[239],"but":[240],"case":[243],"mix":[244],"discharges":[248],"associated":[250],"institutions.":[251],"CONCLUSIONS:":[252],"Variation":[253],"otolaryngology":[259],"care":[260],"may":[261],"be":[262],"subject":[263],"institutional":[267],"factors.":[268]},"counts_by_year":[{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":5}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}