Changes in Commercial Payments Following Ventral Hernia Billing Reform

In this study, following the January 2023 CMS ventral hernia repair reimbursement policy reform, episode spending decreased, with the largest component of the decrease arising from professional fees. With CMS decreasing reimbursement for numerous surgical procedures, the outcomes for surgeon practices and patient costs warrant careful consideration.

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Publication Details

Journal
JAMA Surgery
Published
2026-03-11
DOI
https://doi.org/10.1001/jamasurg.2026.0172
Primary Topic
Hernia repair and management
Type
article
Field-Weighted Citation Impact
0.00
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article

Changes in Commercial Payments Following Ventral Hernia Billing Reform

Tarik K. Yuce, Emma Holler, Karan R. Chhabra, Dana Alexa Telem et al.
JAMA Surgery
Hernia repair and management
article

Changes in Commercial Payments Following Ventral Hernia Billing Reform

Tarik K. Yuce, Emma Holler, Karan R. Chhabra, Dana Alexa Telem, Manish A. Parikh
article en

Abstract

In this study, following the January 2023 CMS ventral hernia repair reimbursement policy reform, episode spending decreased, with the largest component of the decrease arising from professional fees. With CMS decreasing reimbursement for numerous surgical procedures, the outcomes for surgeon practices and patient costs warrant careful consideration.

JAMA Surgery
University of Michigan (US), Bellevue Hospital Center (US), Indiana University School of Medicine, Indiana University – Purdue University Indianapolis (US), New York University (US), Bellevue University (US)
Openalex Percentile: Top 27%
Hernia repair and management
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