Skip 
Navigation Link
Health Policy & Advocacy
Resources
Basic InformationMore InformationLatest News
Reminder, Recall Systems Improve Immunization UptakeSatisfaction Higher in Providers Who E-Mail PatientsRestaurant Bans Have Big Impact on Smoking RatesReduce Legal Blood-Alcohol Limit to Cut Drunk Driving Deaths: ReportFrom Birth On, One Sex Is HardierIs Obesity Slowing Gains in U.S. Life Spans?Health Tip: Perform Regular Skin ChecksFewer Hospitals Closed After Obamacare Expanded MedicaidProgress in Fighting Antibiotic Resistance Shown in CDC MapUSPSTF Questions Adolescent Idiopathic Scoliosis ScreeningHIV Screening Most Optimal at 25 Years of Age If No Risk FactorsBlood Banks Need January DonorsChild Death Rate Higher in U.S. Than Other Wealthy NationsPoor Credit Scores, Poor HealthClean Air Act May Be Saving More Lives Than ThoughtHealth Tip: Make Your Doctor's Appointment SuccessfulOb-Gyns Encouraged to Consider Social Determinants of HealthU.S. Life Expectancy Drops as Opioid Deaths SurgeFDA Gets Tough With Homeopathic MedicinesState Rules Affect Survival of Immigrants With Kidney FailureTougher State Laws Curb Vaccine RefusersDoctors Must Report on at Least 1 Patient, 1 Measure for MACRADecline in Antibiotic Use in Livestock Isn't Enough, Critics SayWoman's Selfie of Skin Cancer Went Viral, Sparked AwarenessCan Video Games Hone ER Docs' Skills?Higher Booze Taxes Might Pay Off for Public HealthAre Emergency Medical Workers Ready for a Nuclear Attack?Pediatric Oncologists Willing to Consider Medical MarijuanaHow to Perk Up the Holidays for Hospital PatientsWhat to Do If Someone's Bleeding BadlyAre Good Kidneys Going to Waste?U.S. Gun Sales Rose After Sandy Hook Massacre: StudyCreating Your Family Health TreeLocal Smoke-Free Laws Tied to Fewer Lung Cancer CasesYour Doc Is Away? Substitute Doctors a Safe Option, Study FindsChecking Prices for Medical Procedures Online? Good LuckPatients More Prone to Complain About Younger DoctorsPatients Often Uncomfortable With Overlapping SurgeriesClinician Denial of Patient Requests Impacts SatisfactionPatients React Poorly When Docs Say 'No'Memo to Doctors: Spit Out the Bad NewsDoubts Raised About Use of Products Containing OxybenzoneReport: Industry Hid Decades-Old Study Showing Sugar's Unhealthy EffectsMany Health Care Providers Work While SickMore Patients Are Having a Say in Their Medical CareFDA Seeks to Speed Development of 'Regenerated' Organs for Medical UseHealth Care Experts in Favor of Patient Contribution to NotesMillions Could Miss Out on a Potential Alzheimer's BreakthroughU.S. May Still Benefit From Climate AccordHealth Tip: Spread Awareness of the Opioid Epidemic
Questions and AnswersLinksBook Reviews
Related Topics

Health Insurance
Healthcare

Price Transparency Intervention Doesn't Cut Lab Test Orders


HealthDay News
Updated: Apr 24th 2017

new article illustration

MONDAY, April 24, 2017 (HealthDay News) -- Clinician test-ordering behavior is not affected by displaying Medicare allowable fees in the electronic health record at the time of order entry, according to a study published online April 21 in JAMA Internal Medicine to coincide with the annual meeting of the Society of General Internal Medicine, held from April 19 to 22 in Washington, D.C.

Mina S. Sedrak, M.D., from the City of Hope Comprehensive Cancer Center in Duarte, California, and colleagues examined the effect of displaying Medicare allowable fees for inpatient laboratory tests on clinician ordering behavior over one year. Data were included for 98,529 patients involved in 142,921 hospital admissions between April 2014 and April 2016. A one-year intervention of displaying Medicare allowable fees in the electronic health record at the time of order entry was compared with a one-year preintervention period.

The researchers found that in adjusted analyses, there were no significant changes in overall test-ordering behavior for the intervention versus the control group over time (0.05 tests ordered per patient-day; 95 percent confidence interval [CI], −0.002 to 0.09; P = 0.06) or associated fees (24 cents per patient-day; 95 percent CI, −42 cents to 91 cents; P = 0.47). Based on patient intensive care unit (ICU) stay, there was a small but significant difference in tests ordered per patient-day (patients with ICU stay: −0.16; 95 percent CI, −0.31 to −0.01; P = 0.04; patients without ICU stay: 0.13; 95 percent CI, 0.08 to 0.17; P < 0.001) and in the magnitude of associated fees.

"Displaying Medicare allowable fees for inpatient laboratory tests did not lead to a significant change in overall clinician ordering behavior or associated fees," the authors write.

One author disclosed ties to Catalyst Health.

Abstract/Full Text
Editorial
More Information