Use of New York medicaid PASs with emergency surgical episodes

Scott A. Optenberg, Philip Jacobs, Ian M. Thompson, Catherine R. Stein

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The New York Products of Ambulatory Surgery (PAS) patient classification system was implemented by the state of New York for reimbursement of Medicaid ambulatory surgery claims. Using a national claims-based database, the PAS system was evaluated for use with emergency department-generated surgical episodes. The PAS system performed well, but would benefit from the inclusion of age, comorbidity, and presence of multiple surgical procedures. Further, model power increased significantly when focused on total episode versus surgical charges alone. The study indicated the high degree to which emergency department-generated charges are closely tied to other charges in any overall care delivery system.

Original languageEnglish (US)
Pages (from-to)31-43
Number of pages13
JournalJournal of Ambulatory Care Management
Volume19
Issue number2
DOIs
StatePublished - Apr 1996

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Keywords

  • Products of Ambulatory Surgery (PAS)
  • cost measurement
  • episodes of care
  • patient classification systems

ASJC Scopus subject areas

  • Health Policy

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