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Originally Posted by Spexxvet
I don't know anything of the sort. I know that Medicare pays the highest for an annual eye exam. I also know that most for-profit insurance companies use Medicare guidelines for their cataract surgery reimbursement. Where do you get your information that for-profit insurance pays the provider more than Medicare?
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I get my information not from cataract surgery but from other procedures, GYN surgery specifically, but I was thinking of reimbursement in the larger sense. For example in bariatric surgery Medicare pays 28% less than private insurance.
http://www.springerlink.com/content/m52w62k100j21n71/
. For choclear implants Medicare paid 57%, and Medicaid 46% of what private insurance paid for the surgeon. For the hospital Medicare paid 80% of what private insurance pays for outpatient services and less for inpatient services.
http://www.rand.org/pubs/research_br...-1/index1.html . For anesthesia services the difference is huge. For GYN procedure is in our outpatient surgery center the differences are huge. Bottom line is that Medicare pays significantly less than what private insurance pay for reimbursement. Cataract surgery may be the exception, not the rule when it comes to differences between private insurance reimbursement and Medicare.