Time-Driven Activity Based Costing Analysis of Panretinal Photocoagulation

Sean T Berkowitz; David L Zhang; Warren W Pan; Osama Ahmed; Cagri G Besirli; Nicolaas P DeRuyter; Tahreem A Mir; Russel H Dinh; Mark W Johnson; Avni P Finn

doi:10.1016/j.oret.2025.01.007

Time-Driven Activity Based Costing Analysis of Panretinal Photocoagulation

Ophthalmol Retina. 2025 Jan 15:S2468-6530(25)00007-7. doi: 10.1016/j.oret.2025.01.007. Online ahead of print.

Authors

Affiliations

¹ Vanderbilt University Medical Center, Department of Ophthalmology, Nashville TN, USA.
² Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
³ Vanderbilt University Medical Center, Department of Ophthalmology, Nashville TN, USA. Electronic address: [email protected].

PMID: 39824307
DOI: 10.1016/j.oret.2025.01.007

Abstract

Time-driven activity-based costing analysis of panretinal photocoagulation shows 47.8% of cases have a negative margin relative to maximum Medicare reimbursement, with large financial disincentives for bilateral cases, which may disincentivize high-value care for vulnerable patients.

Keywords: Cost; Diabetic Retinopathy; Panretinal Photocoagulation; Retina.