Understanding Healthcare Costs: CVAUSA Highlights Avalere’s Analysis on Specialty Service Lines by Affiliation

ORLANDO, FL – October 4, 2024 - CVAUSA shares Avalere’s white paper, which analyzes the utilization and spend across 5 specialty service lines by affiliation model – Unaffiliated, PE-Affiliated Private Practice, Corporate and Hospital.


The paper breaks down the following three questions: 

• What are the trends in physician practice affiliation from 2019 through 2022? 
  
  
• Are there differences in Medicare utilization and expenditures for beneficiaries treated by physicians practicing under different affiliation models? 
  
  
• What is the impact of a shift from an unaffiliated private practice (UPP) to an affiliated model (PEAPP, corporate, or hospital) on beneficiary utilization and expenditures?
  
  

One key finding from the study is that beneficiaries under hospital-affiliated physicians had the highest Medicare expenditures, followed by corporate physicians, PEAPP physicians, and finally, unaffiliated private practice physicians. Interestingly, hospital-affiliated physicians also had the highest number of inpatient days and emergency department visits, with a significant portion of their expenditures in facility settings. In contrast, when physicians transitioned from unaffiliated private practices to PEAPP, Medicare expenditures decreased, while transitions to corporate or hospital models resulted in higher expenditures. The study highlights important trends in healthcare spending depending on physician affiliation models, providing valuable insights for understanding the economic implications of these shifts.

About Cardiovascular Associates of America

Headquartered in Orlando, Cardiovascular Associates of America aims to bring the best cardiovascular physicians into one network with the shared mission of saving lives, reducing costs, and improving patient care through clinical innovation. Through CVAUSA’s physician-centered practice management model, physicians drive clinical care and their practice culture while benefitting from the business expertise and shared resources available through CVAUSA. For additional information on Cardiovascular Associates of America, please visit www.cvausa.com.

For General Press Inquiries:
Andrea Morgan
Amorgan26@outlook.com
917-213-5506