FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4322618132> ?p ?o ?g. }

• W4322618132 endingPage "662" @default.
• W4322618132 startingPage "662" @default.
• W4322618132 abstract "US primary care physicians (PCPs) have lower mean incomes than specialists, likely contributing to workforce shortages. In 2021, the Centers for Medicare & Medicaid Services increased payment for evaluation and management (E/M) services and relaxed documentation requirements. These changes may have reduced the gap between primary care and specialist payment.To simulate the effect of the E/M payment policy change on total Medicare physician payments while holding volume constant and to compare these simulated changes with observed changes in total Medicare payments and E/M coding intensity, before (July-December 2020) and after (July-December 2021) the E/M payment policy change.Retrospective observational study of US office-based physicians who were in specialties with 5000 or more physicians billing Medicare and who had 50 or more fee-for-service Medicare visits before and after the E/M payment policy change.E/M payment policy changes.Outcomes included physician-level simulated volume-constant payment change, total observed Medicare payment change, and share of high-intensity (ie, level 4 or 5) E/M visits before and after the E/M payment policy change. For each specialty, the median change in each outcome was reported. The payment gap between primary care and specialty physicians was calculated as the difference between total Medicare payments to the median primary care and median specialty physician.The study population included 180 624 physicians. Repricing 2020 services yielded a simulated volume-constant payment change ranging from a 3.3% (-$4557.0) decrease for the median radiologist to an 11.0% ($3683.1) increase for the median family practice physician. After the E/M payment change, the median high-intensity share of E/M visits increased for physicians of nearly all specialties, ranging from a -4.4 percentage point increase (dermatology) to a 17.8 percentage point increase (psychiatry). The median change in total Medicare payments by specialty ranged from -4.2% (-$1782.9) for general surgery to 12.1% ($3746.9) for family practice. From July-December 2020 to July-December 2021, the payment gap between the median primary care physician and the median specialist shrank by $825.1, from $40 259.8 to $39 434.7 (primary care, $41 193.3 in July-December 2020 and $45 962.4 in July-December 2021; specialist, $81 453.1 in July-December 2020 and $85 397.1 in July-December 2021)-a relative decrease of 2.0%.Among US office-based physicians receiving Medicare payments in 2020 and 2021, E/M payment policy changes were associated with changes in Medicare payment by specialty, although the payment gap between primary care physicians and specialists decreased only modestly. The findings may have been influenced by the COVID-19 pandemic, and further research in subsequent years is needed." @default.
• W4322618132 created "2023-03-01" @default.
• W4322618132 creator A5031460220 @default.
• W4322618132 creator A5036797519 @default.
• W4322618132 creator A5037448478 @default.
• W4322618132 creator A5055415040 @default.
• W4322618132 date "2023-02-28" @default.
• W4322618132 modified "2023-10-06" @default.
• W4322618132 title "Association of Evaluation and Management Payment Policy Changes With Medicare Payment to Physicians by Specialty" @default.
• W4322618132 cites W1517698571 @default.
• W4322618132 cites W1947224148 @default.
• W4322618132 cites W1952926081 @default.
• W4322618132 cites W2000243437 @default.
• W4322618132 cites W2158158050 @default.
• W4322618132 cites W2782172085 @default.
• W4322618132 cites W2913565393 @default.
• W4322618132 cites W3000338556 @default.
• W4322618132 cites W3031564820 @default.
• W4322618132 cites W3033776099 @default.
• W4322618132 cites W3099105066 @default.
• W4322618132 cites W3128346264 @default.
• W4322618132 cites W3182026597 @default.
• W4322618132 cites W3199178546 @default.
• W4322618132 cites W4225264606 @default.
• W4322618132 cites W4249184675 @default.
• W4322618132 cites W4282941087 @default.
• W4322618132 doi "https://doi.org/10.1001/jama.2023.0879" @default.
• W4322618132 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36853249" @default.
• W4322618132 hasPublicationYear "2023" @default.
• W4322618132 type Work @default.
• W4322618132 citedByCount "3" @default.
• W4322618132 countsByYear W43226181322023 @default.
• W4322618132 crossrefType "journal-article" @default.
• W4322618132 hasAuthorship W4322618132A5031460220 @default.
• W4322618132 hasAuthorship W4322618132A5036797519 @default.
• W4322618132 hasAuthorship W4322618132A5037448478 @default.
• W4322618132 hasAuthorship W4322618132A5055415040 @default.
• W4322618132 hasConcept C10138342 @default.
• W4322618132 hasConcept C144133560 @default.
• W4322618132 hasConcept C145097563 @default.
• W4322618132 hasConcept C160735492 @default.
• W4322618132 hasConcept C162118730 @default.
• W4322618132 hasConcept C162324750 @default.
• W4322618132 hasConcept C20387591 @default.
• W4322618132 hasConcept C2776534028 @default.
• W4322618132 hasConcept C2910449239 @default.
• W4322618132 hasConcept C50522688 @default.
• W4322618132 hasConcept C512399662 @default.
• W4322618132 hasConcept C71924100 @default.
• W4322618132 hasConceptScore W4322618132C10138342 @default.
• W4322618132 hasConceptScore W4322618132C144133560 @default.
• W4322618132 hasConceptScore W4322618132C145097563 @default.
• W4322618132 hasConceptScore W4322618132C160735492 @default.
• W4322618132 hasConceptScore W4322618132C162118730 @default.
• W4322618132 hasConceptScore W4322618132C162324750 @default.
• W4322618132 hasConceptScore W4322618132C20387591 @default.
• W4322618132 hasConceptScore W4322618132C2776534028 @default.
• W4322618132 hasConceptScore W4322618132C2910449239 @default.
• W4322618132 hasConceptScore W4322618132C50522688 @default.
• W4322618132 hasConceptScore W4322618132C512399662 @default.
• W4322618132 hasConceptScore W4322618132C71924100 @default.
• W4322618132 hasIssue "8" @default.
• W4322618132 hasLocation W43226181321 @default.
• W4322618132 hasLocation W43226181322 @default.
• W4322618132 hasOpenAccess W4322618132 @default.
• W4322618132 hasPrimaryLocation W43226181321 @default.
• W4322618132 hasRelatedWork W2012645491 @default.
• W4322618132 hasRelatedWork W2079262502 @default.
• W4322618132 hasRelatedWork W2101196007 @default.
• W4322618132 hasRelatedWork W2106036024 @default.
• W4322618132 hasRelatedWork W2155324881 @default.
• W4322618132 hasRelatedWork W2416533210 @default.
• W4322618132 hasRelatedWork W2419512950 @default.
• W4322618132 hasRelatedWork W2438337262 @default.
• W4322618132 hasRelatedWork W2983666989 @default.
• W4322618132 hasRelatedWork W3193371881 @default.
• W4322618132 hasVolume "329" @default.
• W4322618132 isParatext "false" @default.
• W4322618132 isRetracted "false" @default.
• W4322618132 workType "article" @default.