Becker's Healthcare December 5, 2024
Gastroenterologists are facing mounting challenges as they navigate payer policies, diminishing reimbursements and administrative hurdles.
Leaders say these frustrations are not only impacting physician morale but also threatening patient access to timely, quality care.
Here are are five pressing concerns GIs have with payers:
1. Reimbursement declines
Gastroenterology, like many other specialties, has experienced significant cuts in reimbursement over the years — GI was one of 13 specialties that saw declining reimbursement rates despite higher volumes per beneficiary.
Unadjusted and adjusted average reimbursement for GI procedures dropped by 7% and 33%, respectively from 2007 to 2022, according to a study published in The American Journal of Gastroenterology. Reimbursements for colonoscopies and biopsies decreased 38% during that period....
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