My Thoughts / My Surgical Practice|Articles in Press

Implications of declining medicare reimbursement of hernia repair for surgeons and patients


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      1. Coming in 2023: Extensive Changes for Reporting Anterior Abdominal Hernia Repair. ACS. Accessed February 24, 2023.

        • Haglin J.M.
        • Eltorai A.E.M.
        • Richter K.R.
        • Jogerst K.
        • Daniels A.H.
        Medicare reimbursement for general surgery procedures: 2000 to 2018.
        Ann Surg. 2020; 271: 17-22
        • Clemens J.
        • Gottlieb J.D.
        In the shadow of a giant: medicare's influence on private physician payments.
        J Polit Econ. 2017; 125: 1-39
        • Bai G.
        • Anderson G.F.
        Extreme markup: the fifty US hospitals with the highest charge-to-cost ratios.
        Health Aff (Millwood). 2015; 34: 922-928
      2. Gong JH, Long C, Eltorai AEM, Sanghavi KK, Giladi AM. Billing and utilization trends for hand surgery indicate worsening barriers to accessing care. Handb Neuropsychol N. Published online March 3, 2022:15589447221077368. doi:10.1177/15589447221077367.

      3. Gong JH, Bai G, Vervoort D, Eltorai AEM, Giladi AM, Long C. Decreasing Medicare utilization, reimbursement, and reimbursement-to-charge ratio of reconstructive plastic surgery procedures: 2010 to 2019. Ann Plast Surg. Published online September 2021. doi:10.1097/SAP.0000000000002990.

        • McWILLIAMS J.M.
        • Hatfield L.A.
        • Landon B.E.
        • Chernew M.E.
        Savings or selection? Initial spending reductions in the Medicare shared savings program and considerations for reform.
        Milbank Q. 2020; 98: 847-907
        • Hydrick T.C.
        • Haglin J.
        • Wasif N.
        Trends in reimbursement for index surgical oncology procedures in contemporary practice: declining reimbursement for surgical oncology procedures-how low do we go?.
        Ann Surg Oncol. 2022; 29: 8099-8106
        • London J.A.
        • Utter G.H.
        • Sena M.J.
        • Chen S.L.
        • Romano P.S.
        Lack of insurance is associated with increased risk for hernia complications.
        Ann Surg. 2009; 250: 331