The cost of glaucoma care provided to medicare beneficiaries from 2002 to 2009

Research output: Contribution to journalArticle

Abstract

Purpose: To estimate payments for glaucoma care among Medicare beneficiaries from 2002 to 2009. Design: Database study. Participants: Data from a 5% random sample of Medicare billing information from 2002 to 2009. Methods: Medicare beneficiaries, aged 65 years or older, with both Parts A and B fee-for-service (FFS) enrollment comprised the annual denominator. For each year, we included those with a defined glaucoma diagnostic code linked to a glaucoma visit, diagnostic test, or laser/surgical procedure. Open-angle, angle-closure, and other glaucoma were categorized separately. Claims were classified into glaucoma care, other eye care, and other medical care. Main Outcome Measures: Cost of glaucoma care in the Medicare Fee-for-Service Population. Results: In 2009, total glaucoma payments by Medicare were $37.4 million for this subset, for an overall estimated cost of $748 million, or 0.4% of an estimated cost of $192 billion for all Medicare FFS payments. Office visits comprised approximately one half, diagnostic testing was approximately one-third, and surgical and laser procedures were approximately 10% of glaucoma-related costs. Coded open-angle glaucoma (OAG) and OAG suspects accounted for 87.5% of glaucoma costs, whereas cost per person was highest in "other glaucoma." In 2009,

Original languageEnglish (US)
Pages (from-to)2249-2257
Number of pages9
JournalOphthalmology
Volume120
Issue number11
DOIs
StatePublished - Nov 2013

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Medicare
Glaucoma
Costs and Cost Analysis
Fee-for-Service Plans
Open Angle Glaucoma
Lasers
Angle Closure Glaucoma
Office Visits
Routine Diagnostic Tests
Outcome Assessment (Health Care)
Databases

ASJC Scopus subject areas

  • Ophthalmology

Cite this

The cost of glaucoma care provided to medicare beneficiaries from 2002 to 2009. / Quigley, Harry A; Cassard, Sandra; Gower, Emily W.; Ramulu, Pradeep; Jampel, Henry D; Friedman, David S.

In: Ophthalmology, Vol. 120, No. 11, 11.2013, p. 2249-2257.

Research output: Contribution to journalArticle

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