- Reimbursements for gastroenterology procedures have been declining over time, despite an increase in patient diagnoses. This issue is exacerbated by the higher costs of doing business and staffing issues, particularly in the post-pandemic period.
- Newer endoscopic procedures that have emerged in the last decade often offer minimally invasive and transformative interventions for patients, yet they face poor or no reimbursement, despite their potential to reduce morbidity, length of stay, and overall healthcare costs.
- A study published in the American Journal of Gastroenterology found a 33% decline in adjusted average reimbursement for GI procedures from 2007 to 2022. Specifically, reimbursements for colonoscopy and biopsy procedures decreased by 38% over the same period.
- A study published in JAMA Health Forum revealed that U.S. hospitals’ facility fees for colonoscopy procedures covered by private health insurance are 55% higher than those at ambulatory surgery centers (ASCs).
GI’s reimbursement problem in 5 numbers (Becker’s GI & Endoscopy)
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