成人心胸外科手术医疗保险报销趋势:2007年至2020年

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiac Surgery Pub Date : 2023-02-08 DOI:10.1155/2023/2790790
Keyana Zahiri, Aditya Khurana, L. Scrimgeour, A. Eltorai
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引用次数: 0

摘要

背景。几十年来,心血管疾病一直是美国人死亡的主要原因。随着人口老龄化的加剧和医疗成本的上升,每年进行的心胸外科手术超过50万例。本研究的目的是评估2007年至2020年各种心胸外科手术的医疗保险报销率的趋势。方法。通过美国医疗保险和医疗补助服务中心医师收费表查询工具查询119例常见心胸外科手术的常用程序术语代码,以获得按年报销的数据。手术分为心脏、冠脉搭桥和胸部亚组。所有货币数据均按通胀调整至2020年美元。对调整后的数据进行分析,计算复合年增长率(CAGR)、平均年变化和每个程序的总变化百分比。结果。经通货膨胀调整后,心胸外科手术费用报销率平均下降10.20%。心脏、冠脉搭桥和胸外科手术的报销率分别下降了8.74%、14.46%和10.94%。总体年平均变化为- 14.47美元,复合年增长率为0.82%。CABG手术的复合年增长率(- 1.11%)、年变化(- 30.30美元)和总变化百分比(- 14.46%)下降幅度最大。结论。从2007年到2020年,心胸外科手术的医疗保险报销稳步下降,其中冠脉搭桥手术的下降百分比最高。这些发现的传播对于提高医疗管理人员、外科医生、保险公司和政策制定者的意识至关重要,以确保这些程序在美国获得高质量的心胸外科护理。
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Trends in Medicare Reimbursement for Adult Cardiothoracic Surgery Procedures: 2007 to 2020
Background. Cardiovascular disease has been the leading cause of death in the US for decades. Over half a million cardiothoracic surgery procedures are performed per year, with an increasingly aging population and rising healthcare costs. The purpose of this study was to evaluate trends in Medicare reimbursement rates from 2007 to 2020 for various cardiothoracic surgery procedures. Methods. The Centers for Medicare & Medicaid Services Physician Fee Schedule Look-Up Tool was queried for common procedural terminology codes for 119 common cardiothoracic surgery procedures to obtain reimbursement data by year. Procedures were organized into cardiac, CABG, and thoracic subgroups. All monetary data were adjusted for inflation to 2020 US dollars. Adjusted data were analyzed to calculate compound annual growth rates (CAGR), average annual change, and total percent change for each procedure. Results. After adjusting for inflation, the reimbursement rates for cardiothoracic surgery procedures decreased by 10.20% on average. Reimbursement rates for cardiac, CABG, and thoracic surgical procedures decreased by 8.74%, 14.46%, and 10.94%, respectively. The mean annual change overall was −$14.47, and the CAGR was 0.82%. CABG procedures had the greatest decrease in CAGR (−1.11%), annual change (−$30.30), and total percent change (−14.46%). Conclusions. Medicare reimbursements for cardiothoracic surgery procedures steadily decreased from 2007 to 2020, with CABG procedures experiencing the highest percentage of decline. Dissemination of these findings is crucial to raising awareness for healthcare administrators, surgeons, insurance companies, and policymakers to ensure the accessibility of these procedures for high-quality cardiothoracic surgery care in the United States.
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来源期刊
CiteScore
2.90
自引率
12.50%
发文量
976
审稿时长
3-8 weeks
期刊介绍: Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.
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