Medicare Reimbursement Change Does Not Have the Desired Effect

by Savitha on  February 09, 2010 at 12:27 PM Health Insurance News
  •   Print
  •   Share
  •   Comments
  •  Text 
Medicare payments to physicians for outpatient surgeries for bladder cancer have hit the roof and this has caused a surge in the number of such procedures being performed and a total increase in cost to the healthcare system.

That is the conclusion of a new study published early online in Cancer, a peer-reviewed journal of the American Cancer Society. The findings indicate that some Medicare policies aimed at decreasing costs may instead be contributing to an increase in healthcare expenditures.

Because bladder cancer is the most expensive cancer to treat, its management places a significant economic burden on the United States healthcare system, which costs two to four times that of healthcare systems in any other industrialized nation. In an attempt to reduce costs, in 2005 Medicare increased physician reimbursement for office-based endoscopic bladder procedures, such as biopsies. Moving these procedures from the more expensive inpatient hospital setting to the presumably less expensive outpatient office setting could cut costs provided that they are performed for the same indications, are equally efficacious, and are tolerable to patients.

The reimbursement change was expected to alter physician incentives, leading to increased use of outpatient endoscopic surgery, a decline in hospital-based endoscopic surgery and, consequently, a reduction in healthcare-related costs. To evaluate this hypothesis, Micah Hemani, MD, and Samir Taneja, MD, of the Division of Urologic Oncology at the New York University Langone Medical Center and their colleagues assessed treatment patterns in their practice before and after the Medicare change in physician reimbursement.

Page 1 Page 1 | 2  Next
 Email Email   RSS Feeds RSS Feeds   Print this page Print   Save this page Save   Link Link   Syndicate Syndicate   Comments Comments   Bookmark and Share
 
Comment & Contribute
Comments should be on the topic and should not be abusive. Comments are normally moderated and are reviewed after they are posted.
* Your comment can be maximum of 2500 characters

Notify me when reply is posted
I agree to the terms and conditions
  
If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.
X

Medwonders Health Network

  • Health News Index
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Archive
Date :
Category :
Keyword :
  • News Quick Links
News Central Health Watch
Latest Health News Health In Focus
News Category (500+) Breaking Health News
Popular News Celebrating Life
Health News and Press Release Medindia - Exclusive
News Photo Gallery India Special
News Video Gallery Lifestyle and Wellness
News From Other Resources
News Categories:  
Sexual Health Center

Health Insurance Related News

» Report: A Lot of Americans Have No Access to Health Care » Greece Faces Humanitarian Crisis as Health Care Access Declines in EU, Doctors Group Warns
» HCCI Report Says Rising Prices for Care Responsible for Increased Healthcare Costs for Privately Insured Americans » Treatment in ED is Based on Children's Insurance Status
» US Spends Most on Healthcare Without Providing Superior Care » South Carolina’s Taxpayers Will Not Have to Pay for Abortions in Rape Cases
» Companies Try to Avoid Steep Health Insurance Bills by Rewarding Employees For Healthy Lifestyles » MD247.com to Knock Out Health Insurance Companies Through Telemedicine
Read More >>