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Physicians

News Release

Opioid Prescribing Declines, but Cuts Are Not Uniform Across Locations, Age Groups, or Type of Prescriber

The volume of prescription opioids dispensed from retail pharmacies declined by 21 percent from 2008 to 2018, but the decline was not uniform across geographic areas, among types of patients, or by type of prescriber.

Dec 27, 2021
Blog

Gender Pay Gap Among Doctors, America's Labor Shortage, 'Hacking Equity': RAND Weekly Recap

This weekly recap focuses on the pay gap between female and male doctors, understanding America’s weird job market, social and emotional learning, and more.

Dec 17, 2021
Journal Article

Female Physicians Earn $2 Million Less Than Male Physicians Over Their Careers

RAND researchers used data from 80,342 full-time U.S. physicians to estimate career differences in income between men and women. They found that, over a simulated 40-year career, female physicians earned about $2 million less than male physicians.

Dec 10, 2021
Journal Article

Physician Compensation In Physician-Owned And Hospital-Owned Practices

Vertical integration of physician practices with hospitals or health systems was associated with lower income for nonsurgical specialists, no difference in income for primary care physicians, and slightly higher income for surgical specialists.

Dec 10, 2021
Report

Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods: Updated Results Using Calendar Year 2019 Data

This report describes how the Centers for Medicare & Medicaid Services could use claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.

Sep 14, 2021
Report

Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Updated Results Using Calendar Year 2018 Data

The authors of this report summarize patterns of post-operative visits for surgical procedures furnished in 2018 and paid for by Medicare. This report follows an earlier report that summarized these patterns from July 1, 2017, through June 30, 2018.

Sep 14, 2021
Report

Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Updated Results Using Calendar Year 2019 Data

The authors of this report summarize patterns of post-operative visits for surgical procedures furnished in calendar year 2019 and paid for by Medicare. This report follows two earlier reports that summarized these patterns for earlier periods.

Sep 14, 2021
News Release

Most Prescriptions for Opioid Addiction Medication Buprenorphine Are Written by a Small Number of Providers

Half of all patient-months of buprenorphine treatment during 2016 and 2017 were prescribed by just 4.9% of the physicians and other providers who prescribed the drug during the period.

Jun 1, 2021
Journal Article

Capsule Commentary for Azcarate Et Al., Medical Reasons for Marijuana Use, Forms of Use, and Patient Perception of Physician Attitudes Among the US Population

Commentary on an article by Azcarate et al., assessing U.S. adults' motivations for and perceived physician attitudes towards medical cannabis use.

Apr 13, 2021
Journal Article

Primary Care Physician Migration Patterns and Their Implications for Workforce Distribution

Using primary care physician practice locations, we described physician migration between 2008 and 2013. We found very little physician migration; however, among those who did change, net movement was away from rural counties and HPSAs.

Feb 12, 2021
Report

Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods

This report describes how CMS could use new claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.

Feb 5, 2021
Report

Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Final Report

The authors of this report summarize patterns of post-operative visits where Medicare bundles payment for post-operative care into payment for surgical procedures. The results suggest fewer visits occur than Medicare assumes in its payment rates.

Feb 5, 2021
Report

Responses to Comments on RAND Global Services Reports

RAND researchers respond to comments on three earlier reports related to post-operative visits bundled into Medicare payments for many procedures.

Feb 5, 2021
Journal Article

Feasibility of Report Cards for Measuring Anesthesiologist Quality for Cardiac Surgery

We conducted a study of 55,436 patients undergoing cardiac surgery between 2009 and 2012. Hierarchical logistic regression modeling was used to examine the variation in in-hospital mortality or major complications.

Dec 30, 2020
Journal Article

Association Between Surgical Resident Involvement and Blood Use in Noncardiac Surgery

Senior surgery resident participation in noncardiac surgery is associated with a 56% to 78% higher risk of receiving a blood transfusion intraoperatively.

Dec 16, 2020
Commentary

Can Primary Care Networks and Models of Vertical Integration Coexist in the NHS?

Vertical integration with a hospital helps primary care practices that might otherwise have closed to remain in operation. It thereby creates the opportunity for the continued development and improvement of local primary care for patients.

Dec 7, 2020
Dissertation

Accumulation, Autonomy, and Expectations: Three Essays on the Impact of U.S. Health Care Industry Consolidation

Aims to augment the existing evidence base on the consequences of and policy remedies for health care consolidation in three essays.

Dec 4, 2020
Commentary

How Hospitals Could Step in to Help Manage GP Practices

The supply of doctors in primary care, known as 'GPs' in the UK, is falling behind a growing demand for their services, as GPs leave general practice in large numbers. One way to help struggling GP practices could be vertical integration—combining health care organizations operating at different stages along the patient pathway.

Dec 1, 2020
Journal Article

Effects of Opting-Out from Federal Nurse Anesthetists' Supervision Requirements on Anesthesiologist Work Patterns

In response to California opting out of a supervision requirement for CRNAs, anesthesiologists' did not change time spent working, or time spent supervising CRNAs. They did decrease direct care clinical work hours and worked more in intraoperative care and less in postoperative care.

Nov 25, 2020
Journal Article

The Surgical and Anesthesia Workforce and Provision of Surgical Services in Rural Communities: A Mixed-Methods Examination

This mixed-methods study describes the distribution of the surgical and anesthesia workforce and qualitatively explores how such workforce and other factors influence rural hospitals' provision of surgical services.

Nov 24, 2020

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RAND Topic:
Physicians

Topic Synonyms:
Doctors;
Surgeons

Research conducted by

RAND Health Care