ECHO 2013 / Echocardiography in 2013 and Beyond Where We Are and Where We Are Going
.pdf
Will We Be Funded To Do These Great Echoes?
Surviving (and Thriving) in Health Care Reform
Pericles (495-429 BC)
“Just because you do not have an interest in
politics, it does not mean that politics does |
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not have an in interest in you” |
MR2010:11 |
National Debt Growing Rapidly,
Driven by Healthcare Spending
Wall Street Journal, January 7th 2012 |
New York Times, December 31, 2012 |
MR2010:12
We’re Number 1!
http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jul/1532_Squires _US_hlt_sys_comparison_12_nations_intl_brief_v2.pdf
MR2010:13
We Do More Procedures…
http://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with- |
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other-countries.html |
MR2010:14 |
…and Our Per Procedure
Costs Are Higher
http://newshour.s3.amazonaws.com/photos/2012/10/02/US_prices_for_certain_procedures_are_much_higher_slideshow.j
MR2010:15
Length of Life in U.S. Versus other High Income Countries
“U.S. Health in International Perspective, Shorter Lives Poorer Health” Institute of Medicine,
January 2013 |
MR2010:16 |
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Marked Regional Variation in
Healthcare Delivery
http://www.dartmouthatlas.org/downloads/reports/02_Decision_Making_Middle_Atlantic_Region.pdf MR2010:17
The Perceived Source of the Problem
Rising CV Imaging Procedures
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18.6 million |
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Annually |
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20 |
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avg growth = 15% |
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Echo |
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18 |
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Nuclear |
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16 |
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Invasive |
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Procedures |
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(millions) |
14 |
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12 |
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10 |
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8 |
6.8 million |
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of |
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6 |
avg growth = 8% |
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Number |
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4 |
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7.2 million |
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2 |
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avg growth = 42% |
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0 |
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1996 |
'97 |
'98 |
'99 |
'00 |
'01 |
'02 |
'03 |
http://www.acc.org/advocacy/word_files/2005ProposedPhysicianPmtRulev3%20web.xls |
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MR2010:18 |
The Response to the “Problem”
Slashing CV Imaging Reimbursement
Transthoracic reimbursement 1990-2013 ($) |
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600 |
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500 |
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400 |
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300 |
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200 |
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100 |
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0 |
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1985 |
1990 |
1995 |
2000 |
2005 |
2010 |
2015 |
PFS payment for TTE
MR2010:19
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The Reality |
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Flat Echo & SPECT Utilization Trends |
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8,000,000 |
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7,000,000 |
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6,000,000 |
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5,000,000 |
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4,000,000 |
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3,000,000 |
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2,000,000 |
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1,000,000 |
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0 |
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2002 |
2003 |
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2005 |
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2009 |
2010 |
2011 |
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Echocardiography |
SPECT MPI |
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*Data represent global and professional service billing for services in Medicare fee-for-service at all sites of service (inpatient hospital, physician office, etc.).
*Echocardiography codes were revised in 2009. Chart shows utilization of 93307 through 2008 and 93306 starting in 2009. *SPECT MPI codes were revised in 2010. Chart shows utilization of 78465 through 2009 and 78452 starting in 2010.
MR2010:20