Title

United States Medicare Reimbursement Trends for Glaucoma Procedures: 2000 to 2020

Document Type

Journal Article

Publication Date

8-2-2022

Journal

Journal of glaucoma

DOI

10.1097/IJG.0000000000002093

Abstract

PURPOSE: To investigate United States medicare reimbursement trends for common glaucoma procedures from 2000 to 2020. MATERIALS AND METHODS: Current Procedural Terminology codes for Glaucoma procedures in the United States Centers for Medicare and Medicaid Services database were used to conduct this economic analysis. Reimbursement data from the Physician Fee Schedule look-up tool from the Centers for Medicare and Medicaid Services was compiled for the selected procedures and compensation trends were investigated after adjusting for inflation in 2020 US dollars from the unadjusted data between 2000 to 2020. RESULTS: The average adjusted reimbursement for the analyzed procedures decreased by 20.5% (95% confidence interval [CI], -15.4% to -25.6%) over the twenty-year period. On average, there was a 1.03% decrease in reimbursement rates per year (95% confidence interval [CI], -0.74% to -1.33%) with an adjusted Compound Annual Growth Rate of -1.35% (95% confidence interval [CI], -1.07% to -1.64%). The results show an overall declining rate in reimbursement for the glaucoma procedures analyzed in this study. CONCLUSIONS: United States medicare reimbursement for glaucoma procedures in the United States showed a significant decline between 2000 to 2020. These findings may be relevant to understanding changing practice patterns for glaucoma care.

Department

Ophthalmology

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