Trends in Medicare Reimbursement for Breast Procedures

Inflation-adjusted Medicare reimbursements for breast procedures declined substantially from 2010 to 2024, with the steepest losses in implant-based reconstruction. Geographic adjustments increased payments in higher-cost cities but did not fully account for differences in cost of living or local inflation. As a result, reimbursement trends often lagged behind regional economic conditions, raising concerns about long-term practice sustainability and equitable access to reconstruction.

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Publication Details

Journal
Annals of Plastic Surgery
Published
2026-02-17
DOI
https://doi.org/10.1097/sap.0000000000004646
Primary Topic
Breast Implant and Reconstruction
Type
article
Field-Weighted Citation Impact
0.00
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article

Trends in Medicare Reimbursement for Breast Procedures

David M. Otterburn, Lucy Wei, Carson Gundlach, Michael Stigliano et al.
Annals of Plastic Surgery
Breast Implant and Reconstruction
article

Trends in Medicare Reimbursement for Breast Procedures

David M. Otterburn, Lucy Wei, Carson Gundlach, Michael Stigliano, Annie B. McVeigh, Nancy Qin, Makayla Kochheiser, Anna M. Vaeth
article en

Abstract

Inflation-adjusted Medicare reimbursements for breast procedures declined substantially from 2010 to 2024, with the steepest losses in implant-based reconstruction. Geographic adjustments increased payments in higher-cost cities but did not fully account for differences in cost of living or local inflation. As a result, reimbursement trends often lagged behind regional economic conditions, raising concerns about long-term practice sustainability and equitable access to reconstruction.

Annals of Plastic Surgery
Cornell University (US), Presbyterian Hospital (US), Weill Cornell Medicine (US)
Sustainable cities and communities
Openalex Percentile: Top 52%
Breast Implant and Reconstruction
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