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Trends in Medicare Utilization by Dermatologists, 2012-2015.
Jason Ya1, Harib H Ezaldein2, Jeffrey F Scott2
1Medical student, Department of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Medicare utilization by dermatologists grew between 2012 and 2015, with rising drug service use. Payments did not increase, suggesting a need to optimize Medicare spending for patient access.
Area of Science:
- Dermatology
- Health Economics
- Public Health Policy
Background:
- Medicare is a significant component of national health expenditures.
- Dermatologists receive a substantial portion of Medicare payments.
- Analyzing Medicare utilization trends is crucial for optimizing patient and physician usage.
Purpose of the Study:
- To characterize trends in Medicare charges and payments by dermatologists.
- To analyze changes in Medicare utilization patterns over a defined period.
Main Methods:
- Retrospective analysis of publicly available Medicare data.
- Inclusion of all dermatologists serving Medicare beneficiaries from 2012 to 2015.
- Examination of submitted charges and Medicare payments.
Main Results:
- Dermatologist Medicare utilization and submitted charges increased from 2012 to 2015.
- Medicare payments to dermatologists, services per clinician, and unique beneficiaries remained stable.
- Drug service utilization, charges, and payments significantly increased during the study period.
Conclusions:
- Dermatologist Medicare utilization rose without a proportional increase in services or beneficiaries.
- The proportion of drug services within dermatologist Medicare utilization is growing.
- Understanding these trends is vital for optimizing Medicare payments and ensuring patient access to dermatologic care.
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