1. The Identification of Outlier Medical Specialties from Examining the Association Between the Change in Charges and the Change in Medicare Payments from 2010 to 2019.
- Author
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Vervoort, Dominique and Bai, Ge
- Subjects
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MEDICAL specialties & specialists , *MEDICARE , *MEDICARE Part B , *PAYMENT , *GERIATRIC rehabilitation , *CONSUMPTION (Economics) - Abstract
Medical service charges, which remain consistent across all payers, do not affect the statutorily determined reimbursements from public payers, such as Medicare and Medicaid fee-for-service programs.[1], [2] These charges, however, have important implications for the price paid by private payers, uninsured patients, and out-of-network patients.[1], [2] Prior research found that service charges relative to Medicare payment varied across medical specialties in 2014 and the trend of charges relative to the Medicare payment differed among a few major medical specialties from 2012 to 2018.[1], [3] The specific trend for each individual medical specialty, however, remains unknown. 2010 USD were converted to 2019 USD using the Personal Consumption Expenditures Price Index SP b sp 2010 charge to Medicare payment ratio is not associated with % change in weighted average charge, 2010-2019 (correlation coefficient: 0.16; I P i = 0.25), or with % change in weighted average Medicare payment, 2010-2019 (correlation coefficient: 0.18; I P i = 0.20) Across all 51 specialties, the 2010-2019 percent change in weighted average charge is highly positively associated with the percent change in weighted average Medicare payment (correlation coefficient: 0.87; I P i < 0.001). [Extracted from the article]
- Published
- 2022
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