Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.
J Am Coll Radiol. 2012 Sep;9(9):643-7. doi: 10.1016/j.jacr.2012.05.004.
The aim of this study was to examine recent trends in Medicare reimbursements for noninvasive diagnostic imaging (NDI).
The Medicare Part B databases for 2000 to 2010 were used. For each procedure code, these files provide payment and other data. All NDI codes were selected. Medicare physician specialty codes were used to identify radiologists, cardiologists, all other nonradiologist physicians as a group, and independent diagnostic testing facilities. Part B NDI payment trends were tracked.
Overall Part B spending for NDI rose from $5.921 billion in 2000 to $11.910 billion in 2006 (+101%). There was then a sharp drop in 2007, resulting from the implementation of the Deficit Reduction Act. This was followed by a slight rise in 2008, then successive smaller drops the next 2 years, reaching $9.457 billion in 2010 (-21% vs 2006). Radiologists' payments were $2.936 billion in 2000, rose to a peak of $5.3 billion in 2006 (+81%), then dropped to $4.712 billion in 2010 (-11% vs 2006). Cardiologists' NDI payments were $1.327 billion in 2000, peaking at $2.998 billion in 2006 (+126%), then dropping to $1.996 billion in 2010 (-33% vs 2006). Other physicians' payments were $1.106 billion in 2000, peaking at $2.378 billion in 2006 (+115%), then dropping to $1.968 billion in 2010 (-17% vs 2006). Similar trends occurred in independent diagnostic testing facilities.
After years of rapid growth in Medicare NDI payments, an abrupt reversal occurred starting in 2007. By 2010, overall NDI costs to Medicare Part B were down 21% compared with their 2006 peak. It is unclear whether this large payment reduction will satisfy federal policymakers.
本研究旨在探讨非侵入性诊断成像（NDI）的医疗保险报销的最新趋势。
使用 2000 年至 2010 年的医疗保险 Part B 数据库。对于每个程序代码，这些文件都提供了支付和其他数据。选择了所有的 NDI 代码。医疗保险医师专业代码用于识别放射科医师、心脏病专家、所有其他非放射科医师为一组以及独立的诊断测试设施。跟踪了 Part B NDI 支付趋势。
2000 年，医疗保险 NDI 的 Part B 支出总额为 59.21 亿美元，到 2006 年增加到 119.10 亿美元（增长 101%）。2007 年，由于《赤字削减法案》的实施，出现了急剧下降。随后，2008 年略有上升，接下来的两年连续下降，到 2010 年达到 94.57 亿美元（比 2006 年下降 21%）。2000 年放射科医师的支付额为 29.36 亿美元，到 2006 年增至 53 亿美元（增长 81%），然后在 2010 年降至 47.12 亿美元（比 2006 年下降 11%）。心脏病专家的 NDI 支付额在 2000 年为 13.27 亿美元，在 2006 年达到 299.8 亿美元（增长 126%），然后在 2010 年降至 199.6 亿美元（比 2006 年下降 33%）。其他医师的支付额在 2000 年为 11.06 亿美元，在 2006 年达到 237.8 亿美元（增长 115%），然后在 2010 年降至 196.8 亿美元（比 2006 年下降 17%）。独立诊断测试设施也出现了类似的趋势。
在医疗保险 NDI 支出多年快速增长之后，2007 年开始出现急剧逆转。到 2010 年，医疗保险 Part B 的 NDI 总成本与 2006 年的峰值相比下降了 21%。目前尚不清楚这种大额付款减少是否能令联邦政策制定者满意。
