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Quo vadimus? The Annals of Thoracic Surgery

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1 Quo vadimus? The Annals of Thoracic Surgery
Robert A Guyton, MD  The Annals of Thoracic Surgery  Volume 78, Issue 2, Pages (August 2004) DOI: /j.athoracsur

2 Fig 1 Industry estimates of the future of coronary bypass in the United States. The percentage of patients revascularized with percuteaneous intervention versus coronary bypass will increase leading to a 17% decrease in procedure volume based upon the number of total revascularizations in Adjusted for population growth, however, the actual decrease is projected to be 7% [3]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

3 Fig 2 Industry estimates for growth of transmyocardial laser revascularization in the United States [3]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

4 Fig 3 Industry estimates for growth of atrial fibrillation surgery using an external energy source for ablation in the United States [3]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

5 Fig 4 Depiction of five computer screens (A–E) used in the Electronic Health Record scenario described in the text. (CABG = coronary artery bypass grafting; CMS = Centers for Medicare and Medicaid Services.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

6 Fig 5 Coronary artery bypass grafting reimbursement, three vessel–single arterial + 2-vein grafts (proposed versus actual, 1997–2005). Medicare-allowed fee for triple vessel coronary artery bypass. Reductions proposed by Health Care Financing Administration (HCFA) or Centers for Medicare and Medicaid Services (CMS) were moderated by either congressional action or a revision of proposed fees by CMS. A 4.5% increase is projected for ♦- = actual Medicare fee by year; -■- = proposed annual Medicare fees, under HCFA 1997 PE Proposal Work RVU's prior to 2002 revisions, and by year conversion factors (2003–2005 without Congressional corrections). (PE = practice expense; RVU's = relative value units.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

7 Fig 6 Preserved Medicare reimbursement of 1.36 billion dollars was calculated by The Society of Thoracic Surgeons and the American Association for Thoracic Surgery (STS/AATS) Washington office from the volume of Medicare cases and the difference between proposed reimbursement and actual reimbursement over the last 7 years. During this time period STS/AATS expenses regarding this effort have totaled 6.2 million dollars. This is a return on investment of 219 to 1 from Medicare fees alone. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

8 The Annals of Thoracic Surgery 2004 78, 391-398DOI: (10. 1016/j
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )


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