Eliminating Discretionary Use of Anesthesia Providers During Gastroenterology Procedures Could Generate $1.1 Billion in Savings per Year
The use of dedicated anesthesia providers for routine gastroenterology (GI) procedures is seen as medically justifiable only for high-risk patients. Eliminating these services for low-risk patients could generate $1.1 billion in savings per year.
- What are the financial effects of using anesthesia providers for low-risk patients undergoing routine GI procedures?
- Is the use of anesthesiologists justified by the medical condition of these patients in most cases?
Overuse of anesthesia providers
- The use of anesthesia providers to deliver sedation during routine gastroenterology (GI) procedures is seen as medically justifiable only for high-risk patients who require intensive monitoring.
- But between 2003 and 2009, the proportion of GI procedures involving anesthesia providers doubled, and overall payments for GI anesthesia tripled.
- The use of anesthesia providers varied by almost a factor of four across U.S. regions.
- The majority of patients who received sedation from an anesthesia provider rather than the endoscopy team were not high-risk patients.
Sedation by endoscopy team would lead to substantial savings
- Eliminating potentially discretionary use of anesthesia providers for low-risk patients could generate $1.1 billion in savings per year.
- Copyright: RAND Corporation
- Availability: Web-Only
- Pages: 4
- Document Number: RB-9648
- Year: 2012
- Series: Research Briefs
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