Texas Tech University Health Sciences Center Reports Findings in Managed Care (Comparison of Medicare Reimbursement for Common Urologic and Gynecologic Procedures: An Economic Analysis of Inflation-Adjusted Physician Fees Across a Ten-Year ...): Managed Care - Insurance News | InsuranceNewsNet

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May 27, 2025 Newswires
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Texas Tech University Health Sciences Center Reports Findings in Managed Care (Comparison of Medicare Reimbursement for Common Urologic and Gynecologic Procedures: An Economic Analysis of Inflation-Adjusted Physician Fees Across a Ten-Year …): Managed Care

Insurance Daily News

2025 MAY 27 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Managed Care is the subject of a report. According to news reporting originating from Lubbock, Texas, by NewsRx correspondents, research stated, “To assess physician fees for general urologic procedures compared to gynecologic over the past decade, analyzing trends in reimbursement and the impact of inflation on Medicare compensation due to the need to balance fair wages with decreased financial burden for patients. Utilizing CPT codes, we assessed procedures via the governmental Physician Fee Schedule Look-Up Tool for Medicare from 2015-2024.”

Our news editors obtained a quote from the research from Texas Tech University Health Sciences Center, “Annual physician fee reimbursements were collected as the ‘non-adjusted values’; each year was then adjusted to reflect yearly inflation rates and documented as ‘inflation adjusted values’. Mann-Kendall tests were used to assess both non-adjusted and inflation adjusted trends for each procedure over time; t-tests were used to compare urologic compensation trends to gynecologic. Over the decade, both urology and OBGYN reimbursements decreased significantly at an inflation-adjusted rate of-47.44% and -33.15%, respectively. Non-adjusted rates for both specialties exhibit a 2.00% increase for OBGYN and an -11.03% decrease for urology. Such trends highlight an increasing disparity across both fields, with urology facing significantly steeper declines. These reductions leave urologists with reduced payments for the same services, diminishing physician compensation across this subspecialty. This trend impacts the financial stability of providers while affecting access to care if physicians are disincentivized to perform these procedures or accept certain insurances due to declining reimbursements.”

According to the news editors, the research concluded: “These trends are unsustainable for practice in an overburdened medical system.”

This research has been peer-reviewed.

For more information on this research see: Comparison of Medicare Reimbursement for Common Urologic and Gynecologic Procedures: An Economic Analysis of Inflation-Adjusted Physician Fees Across a Ten-Year Period. Urology, 2025. Urology can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Urology - http://www.journals.elsevier.com/urology/)

The news editors report that additional information may be obtained by contacting Sahil S. Tonk, Texas Tech University Health Sciences Center, School of Medicine, Lubbock, TX, United States. Additional authors for this research include Jordan G. Kassab and Larry I. Lipshultz.

Publisher contact information for the journal Urology is: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA.

(Our reports deliver fact-based news of research and discoveries from around the world.)

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