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Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022

PURPOSE: To examine Medicare reimbursement for hip arthroscopy from 2011 to 2022. METHODS: The seven most common procedures performed with hip arthroscopy by a single surgeon were gathered. The Physician Fee Schedule Look-Up Tool was utilized to access financial data of the associated Current Proced...

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Autores principales: Kufta, Allison Y., Maldonado, David R., Go, Cammille C., Curley, Andrew J., Padilla, Paulo, Domb, Benjamin G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9971874/
https://www.ncbi.nlm.nih.gov/pubmed/36866284
http://dx.doi.org/10.1016/j.asmr.2022.10.009
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author Kufta, Allison Y.
Maldonado, David R.
Go, Cammille C.
Curley, Andrew J.
Padilla, Paulo
Domb, Benjamin G.
author_facet Kufta, Allison Y.
Maldonado, David R.
Go, Cammille C.
Curley, Andrew J.
Padilla, Paulo
Domb, Benjamin G.
author_sort Kufta, Allison Y.
collection PubMed
description PURPOSE: To examine Medicare reimbursement for hip arthroscopy from 2011 to 2022. METHODS: The seven most common procedures performed with hip arthroscopy by a single surgeon were gathered. The Physician Fee Schedule Look-Up Tool was utilized to access financial data of the associated Current Procedural Terminology (CPT) codes. The reimbursement data for each CPT were gathered from the Physician Fee Schedule Look-Up Tool. With the consumer price index database and inflation calculator, reimbursement values were adjusted for inflation to 2022 U.S. dollars. RESULTS: Following an adjustment for inflation, it was found that reimbursement rate for hip arthroscopy procedures on average was 21.1% lower between 2011 and 2022. The average reimbursement per CPT code for the included codes was $899.21 in 2022 compared to inflation adjusted $1,141.45 in 2011, a difference of $242.24. CONCLUSIONS: From 2011 to 2022, the average inflation-adjusted Medicare reimbursement has steadily declined for the most common hip arthroscopy procedures. As Medicare is one of the largest insurance payers, these results have substantial financial and clinical implications for orthopaedic surgeons, policy makers, and patients. LEVEL OF EVIDENCE: Level IV, economic analysis.
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spelling pubmed-99718742023-03-01 Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022 Kufta, Allison Y. Maldonado, David R. Go, Cammille C. Curley, Andrew J. Padilla, Paulo Domb, Benjamin G. Arthrosc Sports Med Rehabil Original Article PURPOSE: To examine Medicare reimbursement for hip arthroscopy from 2011 to 2022. METHODS: The seven most common procedures performed with hip arthroscopy by a single surgeon were gathered. The Physician Fee Schedule Look-Up Tool was utilized to access financial data of the associated Current Procedural Terminology (CPT) codes. The reimbursement data for each CPT were gathered from the Physician Fee Schedule Look-Up Tool. With the consumer price index database and inflation calculator, reimbursement values were adjusted for inflation to 2022 U.S. dollars. RESULTS: Following an adjustment for inflation, it was found that reimbursement rate for hip arthroscopy procedures on average was 21.1% lower between 2011 and 2022. The average reimbursement per CPT code for the included codes was $899.21 in 2022 compared to inflation adjusted $1,141.45 in 2011, a difference of $242.24. CONCLUSIONS: From 2011 to 2022, the average inflation-adjusted Medicare reimbursement has steadily declined for the most common hip arthroscopy procedures. As Medicare is one of the largest insurance payers, these results have substantial financial and clinical implications for orthopaedic surgeons, policy makers, and patients. LEVEL OF EVIDENCE: Level IV, economic analysis. Elsevier 2022-12-19 /pmc/articles/PMC9971874/ /pubmed/36866284 http://dx.doi.org/10.1016/j.asmr.2022.10.009 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Kufta, Allison Y.
Maldonado, David R.
Go, Cammille C.
Curley, Andrew J.
Padilla, Paulo
Domb, Benjamin G.
Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title_full Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title_fullStr Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title_full_unstemmed Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title_short Inflation-Adjusted Medicare Reimbursement for Hip Arthroscopy Fell by 21.1% on Average Between 2011 and 2022
title_sort inflation-adjusted medicare reimbursement for hip arthroscopy fell by 21.1% on average between 2011 and 2022
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9971874/
https://www.ncbi.nlm.nih.gov/pubmed/36866284
http://dx.doi.org/10.1016/j.asmr.2022.10.009
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