Trends of medicare reimbursement for breast cancer and reconstructive surgery

J Plast Reconstr Aesthet Surg. 2024 Jul:94:50-53. doi: 10.1016/j.bjps.2024.04.064. Epub 2024 May 4.

Abstract

This study evaluated trends in Medicare reimbursement for commonly performed breast oncologic and reconstructive procedures. Average national relative value units (RVUs) for physician-based work, facilities, and malpractice were collected along with the corresponding conversion factors for each year. From 2010 to 2021, there was an overall average decrease of 15% in Medicare reimbursement for both breast oncology (-11%) and reconstructive procedures (-16%). Based on these findings, breast and reconstructive surgeons should advocate for reimbursement that better reflects the costs of their practice.

Keywords: Breast surgery; Medicare; Plastic surgery; Surgeons.

MeSH terms

  • Breast Neoplasms* / economics
  • Breast Neoplasms* / surgery
  • Female
  • Humans
  • Insurance, Health, Reimbursement / economics
  • Insurance, Health, Reimbursement / trends
  • Mammaplasty* / economics
  • Mammaplasty* / trends
  • Medicare* / economics
  • Reimbursement Mechanisms
  • United States