[PDF] How much should be paid for prescribed specialist services? (CHE research paper 118)

Centre for Health Economics - CHE
Centre for Health Economics (CHE)
Publication date:
28 October 2015


We apply the Prescribed Specialised Services (PSS) definitions of specialised care, both for the original 13/14 tool and the 14/15 shadow monitoring tool (PSS-SMT), to patient-level data from the Hospital Episode Statistics mapped to reference cost data for three financial years, from 2011/12 to 2013/14. We use ordinary least squares (OLS) and random effects (RE) models to ascertain the cost differential associated with receipt of specialised care for patients allocated to the same HRG. We analyse costs for each individual patient to determine whether the receipt of specialised care is associated with higher costs relative to patients allocated to the same HRG who did not receive specialised care.