Medicaid Funded Surgical Procedures

For this punt cluster, a flash group of 100 Medicaid funded working(a) subprograms were selected (through the application of random weft procedures) from among the population of such procedures performed during the third sixmonth meter period subsequent to the murder of the indorsement operative scene requirement for Medicaid funded patients.

Total price data (from the time of the first gear consultation to the time of the final canoperative freezeup) were collected for each subject included in the two cluster samples. Data collected for those subjects included in the postimplementation cluster were adjusted for both (1) cost escalations ascribable to price inflation, and (2) cost reductions attributable to the effectuation of the PPS system.

The collection of data pertaining to subjects receiving Medicaid funded surgical procedures immediately prior to the implementation of the second surgical credit requirement for Medicaid funded patients, and the collection of data pertaining to patients receiving Medicaid funded surgical procedures sub 33sequent to the implementation of the second surgical opinion requirement for Medicaid funded patients permitted and facilitated the performance of a cost comparison mingled with the two sample groups. This cost comparison provided a basis for an evaluation of the cost dominance of the second surgical opinion

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Congressional Budget Office. (1989). Health care financing. chapiter: United States Government Printing Office.

Young, D. A. (1985). DRGs and prospective payment below Medicare. Medical Decision Makers 5(1), 713.

Milio, N. (1981). Promoting health through worldly concern policy. Philadelphia: F. A. Davis Company.

The research hypothesis was tested by the application of ch'i square statistical analysis procedures to the data. A separate qi square analysis was performed for each type of surgical procedure which was represented in both of the clusters. The statistical significance of the dispersal differences among cost categories between preimplementation and postimplementation subjects was established at the p<.05 level of probability. For the research hypothesis to be accepted with respect to a specific type of surgical procedure included in the research sample (that the be associated with Medicaid funded surgical procedures will be higher in those cases where second concurring opinions are sought than in those cases where no second surgical opinion is obtained), it was necessary to establish that (1) the distribution differences between the two cluster groups were statistically significant, and (2) the distribution of preimplementation subjects was intemperate in lower cost categories than was the distribution of postimplementation subjects.

Shotter, A. (1985). Free market economics. New York: St. Martin's Press.

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