Trends of Medicare Reimbursement Rates for Common Plastic Surgery Procedures.

Autor:	Siotos C; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Cheah MA; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Damoulakis G; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Kelly J; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Siotou K; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Schechter LS; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Shenaq DS; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Derman GH; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital., Dorafshar AH; From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2021 May 01; Vol. 147 (5), pp. 1220-1225.
DOI:	10.1097/PRS.0000000000007878
Abstrakt:	Background: Knowledge of Medicare reimbursement is essential for plastic surgeons providing care to Medicare beneficiaries. The authors sought to evaluate changes in Medicare reimbursement for common plastic surgery procedures from 2010 to 2020. Methods: The authors assessed the Physician Fee Schedule of the Centers for Medicare and Medicaid Services website. Rates of work-, facility-, or malpractice-related relative value units and total monetary units for 26 common plastic surgery procedures between 2010 and 2020 were evaluated. Descriptive statistics were used to calculate relative differences and to compare observed changes over time with the rate of inflation. Results: For the selected procedures, the authors found an average relative difference in terms of monetary units of an increase by 2.02 percent. However, after adjusting for inflation, the average relative difference was a decrease by 14.31 percent. The authors' analysis indicates that, on average, there was a 1.55 percent decrease in physician relative value units between 2010 and 2020. Conclusions: Medicare reimbursement rates have changed significantly over the past decade. However, these changes did not keep pace with the rate of inflation. Plastic surgeons should be aware of these trends and advocate for more fair reimbursement rates. Competing Interests: Disclosures:Dr. Dorafshar receives royalties from Elsevier and KLS Martin and indirect research support from De Puy Synthes. The other authors have no conflicts of interest. (Copyright © 2021 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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