Satiani Bhagwan
The Vascular Laboratory, OSU Heart and Vascular Center, The Ohio State University College of Medicine, Columbus, OH 43210, USA.
Ann Vasc Surg. 2011 Oct;25(7):985-9. doi: 10.1016/j.avsg.2011.05.008. Epub 2011 Jun 25.
Passage of the Patient Protection and Affordable Care Act legislation will impact vascular surgery in many ways. As imaging accounts for 23% of Vascular Surgery Medicare Part B revenues, vascular surgeons will be negatively affected by changes in reimbursement schemes and methodologies proposed by various agencies. The Medicare Payment Advisory Commission is an agency charged by Congress for reviewing Medicare payment policies and recommending changes. Although current recommendations are directed toward "advanced" and more costly imaging services, vascular surgeons and the ultrasound community are advised to watch out for any recommendations that may adversely impact patient access and convenience.
《患者保护与平价医疗法案》的通过将在许多方面对血管外科产生影响。由于影像检查占血管外科医疗保险B部分收入的23%，血管外科医生将受到各机构提议的报销方案和方法变化的负面影响。医疗保险支付咨询委员会是一个由国会负责审查医疗保险支付政策并建议进行变革的机构。尽管目前的建议针对的是“先进”且成本更高的影像服务，但建议血管外科医生和超声领域密切关注任何可能对患者就医机会和便利性产生不利影响的建议。
