What are the implications of a single-payer health system in which private insurance would be eliminated and practice finances would be solely based on Medicare as it exists today. This paradigm would be a unique and especially problematic issue for anesthesiologists. Presently, the profession is faced by an inimitable discrepancy in the Medicare payments for anesthesia services. This is known as the “33% Problem.” While Medicare reimbursement payments for other specialties represent between 75% and 85% of their commercial rates, compensation for anesthesia services is less than one-third of commercial rates. In fact, recently it has been concluded by some that actual Medicare payments are probably in the mid-20% range. If this was the universal payment system, it would introduce a significant threat to the long-term stability of most anesthesiology practices. Many groups address the compensation “shortfall” described above by negotiating to fill the revenue gap with payments from hospitals....
A Financial Model of the 100% Medicare Practice
Johnathan Pregler, Mahesh Vaidyanathan, David S. Larsen, Michael C. Lewis, Elmer Choi, Christopher J. Young, Stephen E. Comess; A Financial Model of the 100% Medicare Practice. ASA Monitor 2023; 87:1–6 doi: https://doi.org/10.1097/01.ASM.0000938772.47169.77
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