PD25-09 CLINICAL INTEGRATION IS ASSOCIATED WITH LOWER COSTS OF CARE AMONG PATIENTS UNDERGOING PROSTATECTOMY

provide price-standardized and risk-adjusted total and component cost data for episodes of care that include the index admission and 90 days post-discharge. For this analysis, we compared 90-day episode costs for patients with 0, 1, or 2 deviations from the NOTES uncomplicated radical prostatectomy pathway. RESULTS: From 244 MUSIC patients with BCBSM insurance, 154 (63%) were matched with radical prostatectomy episode cost data from MVC. The average age of matched cases was 59 years, and 97% were performed robotically (Table). The mean 90-day episode costs for the entire cohort was $11,187. The mean 90-day episode costs for patients ranged from $10,748 for those with 0 NOTES deviations to $15,573 for those with 2 NOTES deviations (p<0.01) (Figure). CONCLUSIONS: Deviations from an uncomplicated radical prostatectomy pathway are strongly associated with increased 90-day episode costs. These data highlight the business case for measuring and improving quality with radical prostatectomy in the era of valuebased payment reforms.