Baker J D
Vascular Surgery Service, UCLA School of Medicine.
J Vasc Surg. 1993 Oct;18(4):702-7.
To obtain objective cost data to use in a formal comment on the proposed changes in Medicare reimbursement, a mail survey of vascular laboratories was carried out.
Data were received from 142 facilities. Patients receiving Medicare made up 64% of the volume, and duplex scanning accounted for 78% of the work.
The mean cost per scan, exclusive of physician payments, was $181. When compared with the mean allowable reimbursement under the 1992 Fee Schedule of $113, this represents a loss of $68 for each duplex scan performed on a patient receiving Medicare. In general, there was little difference in costs when the data were analyzed on the basis of type or size of facility. For laboratories providing data on 1991 Medicare reimbursements, the new fee schedule results in a 38% drop in payments.
These data substantiate the impression that the Health Care Finance Administration has substantially undervalued the costs of performing duplex scanning.
为了获取客观的成本数据，以便对医疗保险报销的拟议变更进行正式评论，我们对血管实验室进行了一项邮件调查。
从142个机构收到了数据。接受医疗保险的患者占总量的64%，而双功扫描占工作量的78%。
每次扫描的平均成本（不包括医生费用）为181美元。与1992年收费表规定的平均允许报销额113美元相比，这意味着为接受医疗保险的患者进行的每次双功扫描会损失68美元。总体而言，根据机构类型或规模分析数据时，成本差异不大。对于提供1991年医疗保险报销数据的实验室，新的收费表导致支付额下降38%。
这些数据证实了这样一种印象，即医疗保健财务管理局大大低估了进行双功扫描的成本。
