Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency
Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved..
PURPOSE: To examine changes in the utilization of procedures related to treatment of chronic venous insufficiency (CVI) in the Medicare population.
MATERIALS AND METHODS: Service-specific claims data for phlebectomy, sclerotherapy, and radiofrequency (RF) and laser ablation were identified by using Medicare Physician Supplier Procedure Summary master files from 2005 through 2014. Longitudinal national utilization rates were calculated by using annual Medicare enrollment data from 2005 through 2013. Procedure volumes by specialty group and site of service were analyzed.
RESULTS: Total annual claims for these procedures in the Medicare fee-for-service beneficiaries increased from 95,206 to 332,244 (Compound Annual Growth Rate [CAGR], 15%) between 2005 and 2014. Per 1,000 beneficiaries, overall utilization increased annually from 2.8 in 2005 to 9.4 in 2013. Most procedures were performed in the private office setting (92% in 2014). In 2014, radiologists had a 10% relative market share, compared with vascular surgeons, other surgeons, and cardiologists, who had 26%, 25%, and 14% market shares, respectively. Cardiologists had the fastest relative growth, with a CAGR of 51% compared with 23% for radiology, 12% for vascular surgery, and 13% for other surgery. Total venous RF ablation services grew with a CAGR of 31%, with radiology and cardiology growing most rapidly (40% and 79%, respectively). Total venous laser ablation services grew with a CAGR of 22%, with radiology growing 15% and cardiology growing most rapidly at 44%.
CONCLUSIONS: Utilization of CVI procedures in the Medicare population increased markedly from 2005 through 2014. The overwhelming majority are performed in the private office setting by nonradiologists.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2017 |
|---|---|
| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
|---|---|
| Enthalten in: |
Journal of vascular and interventional radiology : JVIR - 28(2017), 6 vom: 01. Juni, Seite 818-824 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Prabhakar, Anand M [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 09.11.2017 Date Revised 27.01.2018 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jvir.2017.02.034 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM270837507 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM270837507 | ||
| 003 | DE-627 | ||
| 005 | 20231224231419.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jvir.2017.02.034 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0902.xml |
| 035 | |a (DE-627)NLM270837507 | ||
| 035 | |a (NLM)28396193 | ||
| 035 | |a (PII)S1051-0443(17)30272-5 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Prabhakar, Anand M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency |
| 264 | 1 | |c 2017 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 09.11.2017 | ||
| 500 | |a Date Revised 27.01.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: To examine changes in the utilization of procedures related to treatment of chronic venous insufficiency (CVI) in the Medicare population | ||
| 520 | |a MATERIALS AND METHODS: Service-specific claims data for phlebectomy, sclerotherapy, and radiofrequency (RF) and laser ablation were identified by using Medicare Physician Supplier Procedure Summary master files from 2005 through 2014. Longitudinal national utilization rates were calculated by using annual Medicare enrollment data from 2005 through 2013. Procedure volumes by specialty group and site of service were analyzed | ||
| 520 | |a RESULTS: Total annual claims for these procedures in the Medicare fee-for-service beneficiaries increased from 95,206 to 332,244 (Compound Annual Growth Rate [CAGR], 15%) between 2005 and 2014. Per 1,000 beneficiaries, overall utilization increased annually from 2.8 in 2005 to 9.4 in 2013. Most procedures were performed in the private office setting (92% in 2014). In 2014, radiologists had a 10% relative market share, compared with vascular surgeons, other surgeons, and cardiologists, who had 26%, 25%, and 14% market shares, respectively. Cardiologists had the fastest relative growth, with a CAGR of 51% compared with 23% for radiology, 12% for vascular surgery, and 13% for other surgery. Total venous RF ablation services grew with a CAGR of 31%, with radiology and cardiology growing most rapidly (40% and 79%, respectively). Total venous laser ablation services grew with a CAGR of 22%, with radiology growing 15% and cardiology growing most rapidly at 44% | ||
| 520 | |a CONCLUSIONS: Utilization of CVI procedures in the Medicare population increased markedly from 2005 through 2014. The overwhelming majority are performed in the private office setting by nonradiologists | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Misono, Alexander S |e verfasserin |4 aut | |
| 700 | 1 | |a Sheth, Rahul A |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenkrantz, Andrew B |e verfasserin |4 aut | |
| 700 | 1 | |a Hemingway, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Hughes, Danny R |e verfasserin |4 aut | |
| 700 | 1 | |a Duszak, Richard |c Jr |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of vascular and interventional radiology : JVIR |d 1997 |g 28(2017), 6 vom: 01. Juni, Seite 818-824 |w (DE-627)NLM012603120 |x 1535-7732 |7 nnns |
| 773 | 1 | 8 | |g volume:28 |g year:2017 |g number:6 |g day:01 |g month:06 |g pages:818-824 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jvir.2017.02.034 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 28 |j 2017 |e 6 |b 01 |c 06 |h 818-824 | ||