Medicare reimbursement for common general surgery procedures has declined over the last decade
| Autor: | Kavin Sugumar, Janel L. Paukovits, Jonathan J. Hue, Katherine Bingmer, Jeffrey M. Hardacre, Raymond P. Onders |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry Surgical care medicine.medical_treatment General surgery Reimbursement rates General Medicine Medicare medicine.disease Centers for Medicare and Medicaid Services U.S United States Inguinal hernia Inflation rate Insurance Health Reimbursement medicine Humans Surgery Medicare reimbursement business Medicaid Reimbursement Aged |
| Zdroj: | The American Journal of Surgery. 223:550-553 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2021.10.040 |
| Popis: | Background The Centers for Medicare and Medicaid Services proposed reimbursement cuts for operations in 2021. Literature examining reimbursement for common operations is scarce. Methods Reimbursement rates were abstracted (2011–2021). Trends in reimbursement rates were analyzed using linear regression. Results From 2011 to 2021, the national inflation rate was 16.3%. Unadjusted reimbursement rates for open and laparoscopic inguinal hernia repairs increased by 6.5% and 7.2%, respectively. There was an increase in unadjusted reimbursement for open appendectomies of 5.1% and 6.1% for laparoscopic. Unadjusted reimbursement for open cholecystectomies increased by 4.4%, but decreased by 6.8% for laparoscopic. When adjusted to 2021 values, reimbursement for all six operations decreased. Laparoscopic and open cholecystectomies experienced the largest decreases (19.8%, 10.2%). Conclusion Since 2011, there have been decreases in adjusted reimbursement for three common operations, independent of operative approach. Awareness of trends in reimbursement rates should be a priority to ensure sustainable general surgical care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect