在过去的十年中，常见普外科手术的医疗保险报销费用有所下降。
Medicare reimbursement for common general surgery procedures has declined over the last decade.
机构信息
Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Department of Emergency Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
出版信息
Am J Surg. 2022 Mar;223(3):550-553. doi: 10.1016/j.amjsurg.2021.10.040. Epub 2021 Oct 31.
BACKGROUND
The Centers for Medicare and Medicaid Services proposed reimbursement cuts for operations in 2021. Literature examining reimbursement for common operations is scarce.
METHODS
Reimbursement rates were abstracted (2011-2021). Trends in reimbursement rates were analyzed using linear regression.
RESULTS
From 2011 to 2021, the national inflation rate was 16.3%. Unadjusted reimbursement rates for open and laparoscopic inguinal hernia repairs increased by 6.5% and 7.2%, respectively. There was an increase in unadjusted reimbursement for open appendectomies of 5.1% and 6.1% for laparoscopic. Unadjusted reimbursement for open cholecystectomies increased by 4.4%, but decreased by 6.8% for laparoscopic. When adjusted to 2021 values, reimbursement for all six operations decreased. Laparoscopic and open cholecystectomies experienced the largest decreases (19.8%, 10.2%).
CONCLUSION
Since 2011, there have been decreases in adjusted reimbursement for three common operations, independent of operative approach. Awareness of trends in reimbursement rates should be a priority to ensure sustainable general surgical care.
背景
医疗保险和医疗补助服务中心提议在 2021 年削减手术费用的报销。用于常见手术报销的文献相对较少。
方法
从 2011 年到 2021 年，我们提取了报销率（2011-2021）。使用线性回归分析了报销率的变化趋势。
结果
从 2011 年到 2021 年，全国通货膨胀率为 16.3%。开放式和腹腔镜腹股沟疝修补术的未调整报销率分别增加了 6.5%和 7.2%。开放式阑尾切除术和腹腔镜阑尾切除术的未调整报销率分别增加了 5.1%和 6.1%。开放式胆囊切除术的未调整报销率增加了 4.4%，但腹腔镜胆囊切除术的报销率下降了 6.8%。调整至 2021 年的数值后，所有六项手术的报销均有所下降。腹腔镜和开放式胆囊切除术的降幅最大（19.8%，10.2%）。
结论
自 2011 年以来，三种常见手术的调整后报销费用有所下降，与手术方式无关。了解报销率的变化趋势应是确保普通外科护理可持续性的首要任务。
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