[article] 
inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9

Titre :	Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region.
Type de document :	texte imprimé
Auteurs :	Mackenzi PERGOLOTTI, Auteur ; Jessica Lavery, Auteur ; Bryce B. Reeve, Auteur
Année de publication :	2018
Article en page(s) :	pp.1-9
Langues :	Américain (ame)
Mots-clés :	Soins ambulatoires  ergothérapie  économie  Etats-unis  Assurance maladie  Couverture d'assurance
Résumé :	OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium.
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[article] Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region. [texte imprimé] / Mackenzi PERGOLOTTI, Auteur ; Jessica Lavery, Auteur ; Bryce B. Reeve, Auteur . - 2018 . - pp.1-9.
Langues : Américain (ame)
in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9

Mots-clés :	Soins ambulatoires  ergothérapie  économie  Etats-unis  Assurance maladie  Couverture d'assurance
Résumé :	OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium.
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