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Updated: Feb 7, 2026

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Anterior Cervical Discectomy and Fusion in the Ovine Model
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从2013年到2023年减少前椎间盘切除和融合的医疗保险支付
Jason Silvestre1, Robert J Ferdon, Anthony J Minerva
1Medical University of South Carolina, Charleston, South Carolina, USA.
Neurosurgery
|February 6, 2026
概括
在2013年至2023年期间,前椎切除和融合 (ACDF) 的医疗保险退款大幅下降. 外科医生的补偿下降了27%,这影响了医疗保险老龄化人口的ACDF手术的财务可行性.
科学领域:
- 脊柱手术结果和医疗保健政策.
- 医疗经济学和报销趋势.
背景情况:
- 对前椎切除和融合 (ACDF) 的医疗保险补偿面临政策变化.
- ACDF是一个临床上重要的程序,具有一致的外科手术体积.
研究的目的:
- 调查2013年至2023年ACDF的医疗保险报销趋势.
- 分析骨科和神经脊柱外科医生的报销变化.
主要方法:
- 对医疗保险和医疗补助服务中心数据 (2013-2023) 的回顾性分析.
- 包括每年执行≥10次ACDF手术的外科医生.
- 分析了通货膨胀调整后的平均医疗保险标准化金额 (AMSA) 和平均年度程序收入 (API).
主要成果:
- 在2013年至2023年期间,通胀调整后的AMSA下降了23%,API下降了27%.
- 在神经外科医生和整形外科医生之间,下降是一致的.
- 执行ACDF的骨科外科医生比例增加,而神经外科医生比例下降.
结论:
- ACDF的通货膨胀调整后的医疗保险退款大幅下降,减少了外科医生的补偿.
- 调查结果表明,在医疗保险人口中,ACDF存在潜在的财务可持续性问题.
- 需要政策策略来确保老龄化人口获得手术护理.
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