Pricing and Insurance Networks in Outpatient Surgery Markets
Patients saved money by choosing in-network facilities regardless of the site of care, whereas insurers saved by increasing the usage of ASCs for common adult outpatient surgeries paid by commercial insurers. Insurance models that better align patient and insurer incentives could increase utilization of ASCs and lower overall spending on outpatient surgeries.
Authors
- Christopher Whaley (ORCID: https://orcid.org/0000-0002-9405-1989)
- Xiaoxi Zhao (ORCID: https://orcid.org/0000-0003-3471-2930)
- Elizabeth L. Munnich (ORCID: https://orcid.org/0000-0003-3149-9468)
- Jessica Y. Lee
- Ashley M. Kranz (ORCID: https://orcid.org/0000-0003-0507-7800)
Institutions
- RAND Corporation (US)
Publication Details
- Journal
- The American Journal of Managed Care
- Published
- 2025-10-01
- DOI
- https://doi.org/10.37765/ajmc.2025.89807
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00