New Managed Care Data Have Been Reported by Researchers at Wills Eye Hospital & Research Institute (Revisiting Medicaid Reimbursements and Their Effects On the Economics of Pediatric Ophthalmology Two Years Later): Managed Care

2025 JUN 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Fresh data on Managed Care are presented in a new report. According to news reporting originating from Philadelphia, Pennsylvania, by NewsRx correspondents, research stated, “To identify changes in Medicaid reimbursement rates for new patient and follow-up visit billing codes for pediatric ophthalmologists between the years 2022 and 2024. Individual state Medicaid sites and state ophthalmology associations were used to determine Medicaid reimbursement rates for new patient and follow-up billing codes.The percentage change between 2022 and 2024forthese billing codes was calculated and comparisons were made for each individual state.”

Our news editors obtained a quote from the research from Wills Eye Hospital & Research Institute, “Forty-six states, including the District of Columbia, were used to make comparisons between 2022 and 2024 Medicaid reimbursement rates for new patient and follow-up visits. The average change between 2022 and 2024 was +3.81% for the new patient visit and +4.98% for the follow-up visit.Twenty-one states had increases in reimbursement rates from 2022 to 2024, and eight had decreased rates. Pennsylvania, Illinois, Indiana, Hawaii, and New Mexico demonstrated the greatest increases in new patient visit reimbursement rates. Alaska, Pennsylvania, Illinois, Indiana, and Hawaii had the greatest increases for follow-up visit reimbursement rates. Raising Medicaid reimbursement rates can alleviate the economic and workplace issues pediatric ophthalmologists face.”

According to the news editors, the research concluded: “State level advocacy is important in increasing Medicaid reimbursement rates effectively.”

This research has been peer-reviewed.

For more information on this research see: Revisiting Medicaid Reimbursements and Their Effects On the Economics of Pediatric Ophthalmology Two Years Later. Journal of Pediatric Ophthalmology & Strabismus, 2025;62(3):160-165. Journal of Pediatric Ophthalmology & Strabismus can be contacted at: Slack Inc, 6900 Grove Rd, Thorofare, NJ 08086, USA.

The news editors report that additional information may be obtained by contacting Iniya K. Adhan, Wills Eye Hospital & Research Institute, Dept. of Pediatric Ophthalmology and Adult Strabismus, Philadelphia, PA, United States. Additional authors for this research include Ryan M. Sussberg, Leonard B. Nelson and Karen E. Lee.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.3928/01913913-20250321-01. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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