@article{17e731f454b441d58011e0478beda033,
title = "The value of the modern vascular surgeon to the health care system: A report from the Society for Vascular Surgery Valuation Work Group",
abstract = "Vascular surgeons provide an important service to the health care system. They are capable of treating a wide range of disease processes that affect both the venous and arterial systems. Their presence broadens the complexity and diversity of services that a health care system can offer both in the outpatient setting and in the inpatient setting. Because of their ability to control hemorrhage, they are critical to a safe operating room environment. The vascular surgery service line has a positive impact on hospital margin through both the direct vascular profit and loss and the indirect result of assisting other surgical and medical services in providing care. The financial benefits of a vascular service line will hold true for a wide range of alternative payment models, such as bundled payments or capitation. To fully leverage a modern vascular surgeon's skill set, significant investment is required from the health care system that is, however, associated with substantial return on the investment.",
keywords = "Finance, Practice, Safety, Vascular surgery",
author = "{SVS Valuation Work Group} and Richard Powell and Kellie Brown and Mark Davies and Joseph Hart and Jeffrey Hsu and Brad Johnson and Michel Makaroun and Andres Schanzer and William Shutze and Fred Weaver and John White",
note = "Funding Information: Funding was provided through the Society for Vascular Surgery.Full capitation is slowly increasing penetration into the health care market system. Health care systems such as Kaiser Permanente have successfully managed population health, but now states such as Maryland have worked with the CMS Innovation Center to provide full capitation of the state's Medicare population.14 In capitated payment models, there are many challenges around patient attribution and coordination of care; however, these alternative payment models have significant support from the CMS. In these models of care, specialists shift from revenue-generating centers to being viewed as cost centers. Defining features for cost containment focus to a lesser degree on cost per episode of care and more on utilization rates. Vascular surgeons will thrive in this environment. Vascular surgeons have a long track record of promoting conservative vascular care based on long-term outcomes. This has been to some degree detrimental in the fee-for-service world. Vascular surgeons have consistently maintained strong advocacy for appropriateness of interventions, and this will be an important contribution to controlling cost of vascular care in the capitated environment.",
year = "2020",
doi = "10.1016/j.jvs.2020.05.056",
language = "English (US)",
journal = "Journal of Vascular Surgery",
issn = "0741-5214",
publisher = "Mosby Inc.",
}