The Effect of Colonoscopy Reimbursement Reductions on Gastroenterologist Practice Behavior

Goal The purpose of this study was to assess the effect of decreased colonoscopy reimbursement on gastroenterologist practice behavior, including time to retirement and procedure volume. Background In 2015, the Centers for Medicare and Medicaid Services proposed reductions in colonoscopy reimburseme...

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Bibliographic Details
Published in:Digestive diseases and sciences 2016-06, Vol.61 (6), p.1495-1500
Main Authors: McNeill, Matthew B., Chang, Shannon, Sahebjam, Farhad, Goodman, Adam J., Gross, Seth A., Sigal, Samuel H.
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Biochemistry
Cancer
Colonoscopy
Colonoscopy - economics
Colorectal cancer
Data Collection
Diagnosis
Gastroenterologists - economics
Gastroenterology
Health Services Needs and Demand - trends
Hepatology
Humans
Medicaid
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Pneumoviridae
Practice Patterns, Physicians
Reimbursement Mechanisms
Surveys
Surveys and Questionnaires
Transplant Surgery
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Summary:Goal The purpose of this study was to assess the effect of decreased colonoscopy reimbursement on gastroenterologist practice behavior, including time to retirement and procedure volume. Background In 2015, the Centers for Medicare and Medicaid Services proposed reductions in colonoscopy reimbursements. With new initiatives for increased colorectal cancer screening, it is crucial to understand how reimbursement changes could affect these efforts. Study Randomly selected respondents from the American College of Gastroenterology membership database were surveyed on incremental changes in practice behavior if colonoscopy reimbursement were to decrease by 10, 20, 30, or 40 %. Data were analyzed using both Pearson’s Chi-square and analysis of variance. Results Two thousand and nine gastroenterologists received the survey with a 16.3 % response rate. Procedure volume significantly decreased with degree of reimbursement reductions ( p  
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-016-4033-5