Table 2.
Multivariable regression analyses of predictors of out-of-network surgeon status for combined orthopedic sports procedures.
| Variable | Reference Variable | OR (95 % CI) for OON Surgeon | p-value |
|---|---|---|---|
| Procedure Type | |||
| ACL | HA | 0.88 (0.82–0.94) | 0.0003 |
| MAT | HA | 0.86 (0.56–1.33) | 0.506 |
| PM | HA | 0.59 (0.55–0.63) | 0.0001 |
| RCR |
HA |
0.85 (0.8–0.92) |
0.0001 |
| Sex | |||
| Male |
Female |
1.03 (1.00–1.06) |
0.025 |
| Age Group | |||
| 18-34 | 0–17 | 1.03 (0.97–1.09) | 0.364 |
| 35-44 | 0–17 | 0.99 (0.93–1.05) | 0.784 |
| 45-54 | 0–17 | 0.97 (0.91–1.02) | 0.239 |
| 55+ |
0–17 |
0.97 (0.92–1.03) |
0.346 |
| Region | |||
| Northeast | South | 1.64 (1.59–1.69) | 0.0001 |
| Midwest | South | 0.71 (0.68–0.73) | 0.0001 |
| West |
South |
0.77 (0.74–0.8) |
0.0001 |
| Insurance Plan Type | |||
| HD/CDHP | EPO/PPO | 0.52 (0.49–0.54) | 0.0001 |
| HMO/POS | EPO/PPO | 0.69 (0.66–0.72) | 0.0001 |
| Other |
EPO/PPO |
2.40 (2.27–2.54) |
0.0001 |
| Procedure Year | |||
| 2014 | 2013 | 0.85 (0.82–0.88) | 0.0001 |
| 2015 | 2013 | 1.24 (1.19–1.29) | 0.0001 |
| 2016 | 2013 | 0.92 (0.88–0.96) | 0.0001 |
| 2017 |
2013 |
0.89 (0.85–0.93) |
0.0001 |
| Facility Type | |||
| ASC | OH | 1.13 (1.10–1.16) | 0.0001 |
Bold text indicates statistical significance, p < 0.05. Abbreviations: Out-of-Network (OON), Odds Ratio (OR), Confidence Interval (CI), Exclusive Provider Organization (EPO), Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Non-capitated/Capitated/Partially-Capitated Point-of-Service (POS), Consumer-Driven Health Plan (CDHP), High Deductible Health Plan (HDHP), Anterior Cruciate Ligament Reconstruction (ACLR), Meniscus Allograft Transplant (MAT), Partial Meniscectomy (PM), Rotator Cuff Repair (RCR), Hip Arthroscopy (HA), Outpatient Hospital (OH), Ambulatory Surgery Center (ASC).