区域和专业医疗保险补偿趋势在动脉内血管手术中的趋势
Daniel J Koh1, Brian S Tao1, Andrea Alonso1
1Division of Vascular and Endovascular Surgery, Department of Surgery, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA.
Journal of vascular surgery
|June 6, 2025
概括
从2018年到2022年,医疗保险对下肢内血管干预的补偿在全国范围内下降. 虽然大多数地区出现下降,但南海岸和西海岸的设施报销增加,而山西地区的整体下降幅度最大.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
- 干预性放射学 干预性放射学
背景情况:
- 医疗保险 (Medicare) B部分对下肢内血管干预的补偿在全国范围内有所下降.
- 了解这些趋势对于医疗保健提供者和政策制定者来说至关重要.
研究的目的:
- 分析内血管下肢干预的医疗保险补偿趋势.
- 将这些趋势按地理区域和医生专业分层.
主要方法:
- 使用了2018-2022年医疗保险医生和其他从业人员按提供商和服务数据集.
- 分析了八个下肢的当前程序术语代码,计算了平均退款.
- 根据环境,CMS区域和医生专业 (血管外科,介入放射学,介入心脏病学) 的分层数据.
主要成果:
- 设施补偿仅增加了椎支架安置 (9%) 和下骨切除术 (1%).
- 腿部-骨骨切除术 (-41%) 和IVUS (-36%) 出现了最大的非设施补偿减少.
- 地区6 (南部) 和9 (西海岸) 显示设施补偿增加 (7%,9%),而地区8 (山区西部) 经历了最大的设施 (-19%) 和非设施 (-35%) 的下降.
结论:
- 医疗保险对血管内动脉手术的补偿在所有医生专业中继续下降.
- 地区存在显著差异,南海岸和西海岸显示设施补偿金增加.
- 山西地区在设施和非设施设置中经历了最实质性的报销下降.
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