Becker's Healthcare January 16, 2025
Rising practice costs and increased consolidation across healthcare have made it more difficult for gastroenterologists to maintain independent practices.
According to a November 2024 report by Medicus, independent, Medicare-billing gastroenterologists dropped by 58% between 2019 and 2022. Reimbursement rates may play a key role in the decline of independent gastroenterologists — between 2007 and 2022, average GI reimbursements fell by 33%, when adjusted for inflation.
In November, CMS also finalized a 94-cent (2.83%) conversion factor decrease from 2024. The physician fee schedule conversion factor for 2025 is $32.35, down from $33.29 in 2024. Physicians and medical groups have expressed concern over the decrease in reimbursements, saying that year-over-year decreases are proving unsustainable for many.
The Digestive Health Physicians Association...