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Abstract

Laparoscopic surgery has revolutionized the outpatient surgery industry by increasing the types of surgical cases that can be performed on an outpatient or extended recovery basis. This article examines the economics surrounding laparoscopic surgery by discussing operational considerations as they relate to the surgical delivery of care. Methodologies for basic analysis of the financial impact of instituting or upgrading laparoscopic capabilities are presented for the physician's understanding of how technology affects an ever-shrinking base of reimbursement. Proposals by the Health Care Financing Administration in redesigning reim_ _ bursement for outpatient surgery services provided to Medicare beneficiaries are critically important in health care delivery because the growth in the over 65 group will soon be touched by the first of the baby-boomers. Finally, examples of various studies examining the significant direct costs for benchmarking and the advantages of laparoscopy as a surgical technique are presented. Copyright © 1999 by W B. Saunders Company

Keywords

Laparoscopy procedures outpatient surgery costs Medicare reimbursement.

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References

Cleverly W. , Solovy A. , White S. : The Outpatient Procedures Resource Book. Chicago, IL, Center for Healthcare Industry Performance Studies , 1997

SMG Marketing : 1996 Federated Ambulatory Surgery Association Post-Surgical Recovery Care Study . Chicago, IL, 1996

Department of Health and Human Services , Federal Register: June 12, 1998

Richards KF , Fisher KS , Flores JH , et al: Laparoscopic appendectomy: Comparison with open appendectomy in 720 patients. Surg Laparosc Endosc 6:205-209, 1996

Lipscomb GH , Dell JR , Ling FW , et al: A comparison of the cost of local versus general anesthesia for laparoscopic sterilization in an operating room setting. J Am Assoc Gynecol Laparosc 3:277-281, 1996

Balicki B. , Kelly WP , Miller H. : Establishing benchmarks for ambulatory surgery costs. Healthcare Financial Management. 40-46, September 1995

Kenyon TG , Lenker MP , Bax TW , et al: Cost and benefit of the trained laparoscopic team. Surg Endosc 11:812-814, 1997

Dunlap KD , Wanzer L. : Is the robotic arm a cost-effective surgical tool? AORNJ 68:265-272, 1998

Reichert M. : Laparoscopic instruments. AORN J 57:637-655, 1993

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Balano S. , Martini B. : Outsourcing partnerships. Surg Services Management 4:47-48, 1998

Laparoscopic Service Economic Considerations

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