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Medicare Trends in Pathologist Participation, Service Utilization, and Payments. | LitMetric

AI Article Synopsis

  • The study aimed to assess pathologist participation in Medicare services to understand future workforce and reimbursement needs.
  • From 2012 to 2017, there was a slight increase in pathologists providing services, with a notable rise in female pathologists and the number of patients they served per pathologist.
  • Despite the increase in participation and services performed, overall payments for Part B pathology services decreased during this period.

Article Abstract

Objectives: Quantifying pathologist participation in Medicare services may be informative for the prediction of future workforce needs and reimbursement.

Methods: A retrospective examination was performed of pathologist professional (Part B) Medicare billings and payments from 2012 to 2017. The Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File was the primary data source.

Results: From 2012 to 2017, there was an increase (3.7%; 11,215 up to 11,627) in pathologists providing Medicare Part B services. Female pathologists increased from 36.10% to 40.8% of pathologists during this time period. Normalized per pathologist, there was an increase (7.8%; 1,382 up to 1,489) in beneficiaries served as well as an increase (4.1%; 2,442 up to 2,543) in services performed. The top 10 pathology Part B services performed in a facility were all surgical pathology. Although services increased, the overall payment of Part B pathology services decreased (3%; $996,519,358 down to $966,615,856) during the study period.

Conclusions: Although there is increasing pathologist participation in Medicare, the workload per pathologist has increased.

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Source
http://dx.doi.org/10.1093/ajcp/aqaa167DOI Listing

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