Gender Differences in Medicare Payments Among Cardiologists
Gender Differences in Medicare Payments Among Cardiologists
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DOI：
10.1001/jamacardio.2021.3385
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发表时间：
2021-09-08
期刊：
影响因子：
24
通讯作者：
McEvoy, John W.
中科院分区：
文献类型：
--
作者：
Raber, Inbar;Al Rifai, Mahmoud;McEvoy, John W.
重要性 女性心脏病专家的工资低于男性；然而，尚不清楚美国医疗保险和医疗补助服务中心 (CMS) 的报销是否也因性别而异，并导致工资较低。 目的 确定 CMS 的报销、收费和每次收费报销是否存在性别差异。设计、设置和参与者 这项横断面分析使用 CMS 数据库来获取美国心脏病专家 2016 年的报销数据。其中包括心脏病专家的报销、提交的费用以及独特的账单代码。还评估了住院和门诊的评估和管理报销以及程序费用方面的性别差异。分析于 2019 年 4 月至 2020 年 12 月期间进行。 主要结果和措施 结果包括 2016 年住院和门诊机构收到的 CMS 付款中位数以及提交的费用中位数。 结果 2016 年，17 524 名心脏病专家（2312 名女性 [13%] 和 15 212 名男性 [87%]）在住院机构收到 CMS 付款，16 名心脏病专家在住院期间收到 CMS 付款。 929 名心脏病专家（2151 名女性 [13%] 和 14 778 名男性 [87%]）在门诊接受了 CMS 付款。男性在住院期间获得的中位付款较高（中位[四分位距]，$62 897 [$30 904-$104 267] vs $45 288 [$21 371-$73 191]；P
IMPORTANCE Women cardiologists receive lower salaries than men; however, it is unknown whether US Centers for Medicare & Medicaid Services (CMS) reimbursement also differs by gender and contributes to the lower salaries.OBJECTIVE To determine whether gender differences exist in the reimbursements, charges, and reimbursement per charge from CMS.DESIGN, SETTING, AND PARTICIPANTS This cross-sectional analysis used the CMS database to obtain 2016 reimbursement data for US cardiologists. These included reimbursements to cardiologists, charges submitted, and unique billing codes. Gender differences in reimbursement for evaluation and management and procedural charges from both inpatient and outpatient settings were also assessed. Analysis took place between April 2019 and December 2020.MAIN OUTCOMES AND MEASURES Outcomes included median CMS payments received and median charges submitted in the inpatient and outpatient settings in 2016.RESULTS In 2016, 17 524 cardiologists (2312 women [13%] and 15 212 men [87%]) received CMS payments in the inpatient setting, and 16 929 cardiologists (2151 women [13%] and 14 778 men [87%]) received CMS payments in the outpatient setting. Men received higher median payments in the inpatient (median [interquartile range], $62 897 [$30 904-$104 267] vs $45 288 [$21 371-$73 191]; P