NEW STUDY FINDS HOSPITAL OUTPATIENTS, INCLUDING CANCER PATIENTS, ARE SICKER AND TEND TO COME FROM LOWER-INCOME COMMUNITIES COMPARED TO PATIENTS TREATED IN INDEPENDENT PHYSICIAN OFFICES
WASHINGTON (September 25, 2018) – Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO). The study also specifically examined the characteristics of Medicare cancer patients seen in HOPDs and IPOs and found similar results.
The findings of this new study, conducted for the American Hospital Association by KNG Health Consulting LLC, highlight why proposals under consideration by Congress to reimburse hospitals the same amount as physician offices could threaten access to care for the most vulnerable patients and communities.
“America’s hospitals and health systems are proud to provide care and emergency services 24/7 to all who come through the door regardless of their ability to pay,” said AHA President and CEO Rick Pollack. “But as this study clearly shows, the needs of the patients hospital outpatient departments care for each day are different from those who choose to be seen at an independent physician office. Proposals that treat them the same ignore the very different clinical and regulatory demands hospitals face, and could threaten access to care.”
According to the study, relative to those seen in an IPO, Medicare patients, including cancer patients, seen in HOPDs are more likely to be:
- From lower-income areas
- Under 65 (individuals with disabilities, end-stage renal disease, and amyotrophic lateral sclerosis)
- Burdened with more severe chronic conditions
- Previously hospitalized
- Eligible for both Medicare and Medicaid
- Previously cared for in an emergency department, thereby having higher Medicare spending prior to receiving ambulatory care
In addition, hospitals are held to far higher regulatory standards because of the complexity of caring for these higher acuity patients.
For a full copy of the report, visit .
Marie Johnson, 202-626-2351,
Arika Trim, 202-626-2319, firstname.lastname@example.org
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