2000年至2020年间，足踝矫形外科手术的报销费用下降了30%。
Between 2000 and 2020, Reimbursement for Orthopaedic Foot and Ankle Surgery Decreased by 30.
作者信息
Pollock Jordan R, Moore M Lane, Haglin Jack M, LeBlanc Matthew P, Rosenow Christian S, Makovicka Justin L, Deckey David G, Hassebrock Jeffrey D, Bingham Joshua S, Patel Karan A
机构信息
Mayo Clinic Alix School of Medicine, Scottsdale, Arizona, U.S.A.
Texas Tech University, Lubbock, Texas, U.S.A.
出版信息
Arthrosc Sports Med Rehabil. 2021 Dec 24;4(2):e553-e558. doi: 10.1016/j.asmr.2021.11.016. eCollection 2022 Apr.
PURPOSE
To examine and analyze Medicare reimbursement rates from 2000 to 2020 for orthopaedic foot and ankle procedures.
METHODS
The 20 most used orthopaedic foot and ankle surgical procedures were gathered from the Centers for Medicare & Medicaid Services website using the Medicare Provider Utilization and Payment Data Public Use File 2017. The reimbursement data for each code were gathered from The Physician Fee Schedule Look-Up Tool from Centers for Medicare & Medicaid Services. The reimbursement values were adjusted for inflation to 2020 U.S. dollars using the consumer price index.
RESULTS
The average inflation-adjusted reimbursement for included procedures decreased by 30% from 2000 to 2020. The greatest mean decreases were observed for "correction of hallux valgus" (-47%) and "partial excision of foot bone" (-41%). The procedures with the smallest mean decreases were observed in "treatment of "Amputation of toe" (-19%) and "closed treatment of metatarsal fracture" (-7%).
CONCLUSIONS
From 2000 to 2020, Inflation-adjusted Medicare reimbursement for foot and ankle surgery decreased by 30%.
LEVEL OF EVIDENCE
IV; economic analysis.
目的
研究并分析2000年至2020年医疗保险对足踝骨科手术的报销率。
方法
利用医疗保险与医疗补助服务中心2017年的医疗保险提供者利用和支付数据公共使用文件，从医疗保险与医疗补助服务中心网站收集20种最常用的足踝骨科手术。每个代码的报销数据从医疗保险与医疗补助服务中心的医师费率表查询工具中收集。使用消费者价格指数将报销价值调整为2020年的美元。
结果
从2000年到2020年，纳入手术的平均经通胀调整后的报销额下降了30%。“拇外翻矫正术”（-47%）和“足部骨骼部分切除术”（-41%）的平均降幅最大。平均降幅最小的手术是“脚趾截肢术治疗”（-19%）和“跖骨骨折闭合治疗”（-7%）。
结论
从2000年到2020年，经通胀调整后的医疗保险对足踝手术的报销额下降了30%。
证据水平
IV；经济分析。
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