Trends in Medicare Part B Payments and Utilization for Imaging Services Between 2009 and 2019
| Autor: | Keval D. Parikh, Monica H. Kassavin, Sree Harsha Tirumani, Nikhil H. Ramaiya |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Diagnostic Imaging
Service (business) Actuarial science business.industry media_common.quotation_subject Price elasticity of supply Health Care Costs Payment Durable medical equipment United States Gross domestic product Health care Humans Medicine Medicare Part B Radiology Nuclear Medicine and imaging Health Expenditures business Medicaid Aged Retrospective Studies media_common |
| Zdroj: | Current Problems in Diagnostic Radiology. 51:478-485 |
| ISSN: | 0363-0188 |
| DOI: | 10.1067/j.cpradiol.2021.08.002 |
| Popis: | Background In 2019, the total National Healthcare Expenditure (NHE) reached $3.8 trillion, or nearly 20% of the total Gross Domestic Product. This represents a 4-fold increase in its Gross Domestic Product share since 1960. Given the magnitude and growth of such expenditures, healthcare cost containment is central to the country's financial sustainability. Moreover, as Medicare represents nearly 20% of the total NHE, it is a primary target for piloting, implementing and scaling initiatives that reduce expenditures. Objective To assess trends in Medicare Physician Fee Schedule for Service (Part B) payments and utilization for Imaging relative to other services from 2009 through 2019. Materials and methods We conducted a retrospective observational study of annual expenditures and utilization of imaging services using data from Centers for Medicare and Medicaid Services Medicare Part B. Data was grouped according to the Berenson-Eggers Type of Service Classification. The values were adjusted for inflation and we calculated the annual changes and the compound annual growth rates and the price elasticity of supply. Results For the 10-year period, Imaging represented on average 8% of the total Medicare Part B expenditures, an equivalent of 1.4% of total Medicare expenditures or 0.05% of the NHE. While NHE, overall Medicare and overall Part B had positive growth rates of total expenditures, Imaging did not. Moreover, Imaging had the most negative CAGR compared to all other categories, including Drugs, Procedures, Evaluation and Management and Durable Medical Equipment. Conclusion Imaging did not contribute to the increase in Medicare Part B expenditures, and it might have been disproportionately affected by cost containment policies. |
| Databáze: | OpenAIRE |
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