HMN 2025: How Physicians exiting conventional Medicare accelerated from 2010 to 2023

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From 2010 to 2023, doctor exit charges from conventional Medicare elevated, in response to a research printed on-line July 18 in JAMA Health Forum.

Hannah T. Neprash, Ph.D., from the University of Minnesota in Minneapolis, and Michael E. Chernew, Ph.D., from Harvard Medical School in Boston, analyzed Medicare information to quantify the post-COVID-19 pandemic fee of doctor exit from conventional Medicare. The evaluation included the annual variety of Part B claims billed by every clinician (791,025 physicians) to Medicare from 2010 to 2024.

The researchers discovered that the share of physicians exiting Medicare in any given yr elevated considerably from 1.80% to three.60%. There was a gradual improve in doctor exit throughout 2010 to 2013, a interval of stability from 2014 to 2016, a gradual improve from 2017 to 2019, a spike through the pandemic (2020 to 2021), and a return in 2023 to ranges above the 2019 fee. The exit fee amongst main care physicians in 2023 (4.41%) was increased than that seen for hospital-based specialists (3.50%), surgical specialists (2.99%), and medical specialists (2.49%). Similarly, over time (2010 to 2023), the age-adjusted share of exiting Medicare elevated by 0.21 share factors, which was a considerably increased annual progress in exit than that seen amongst surgical specialists (0.14 share factors), hospital-based specialists (0.08 share factors), and medical specialists (0.06 share factors).

“The findings might mirror a number of elements, together with the better burden of latest communication strategies (e.g., portal messages) and calls for for medical documentation,” the authors write.

One writer disclosed ties to the well being care business.

More info:
Hannah T. Neprash et al, Trends in Physician Exit From Fee-for-Service Medicare, JAMA Health Forum (2025). DOI: 10.1001/jamahealthforum.2025.2267

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