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May 10, 2026Cardiovascular Science0 citationsOpen Access

A Contemporary Analysis of Changing Payments for Surgical and Transcatheter Valve Procedures

AJA. Treffalls JohnASA. Hirji SameerKCK. Zogg Cheryl

Key Result

Inflation-adjusted physician reimbursement for surgical and transcatheter valve procedures declined by a combined total of 28.5% between 2015 and 2023.

Key Points

  • This analysis aims to quantify changes in physician Medicare reimbursements for surgical and transcatheter valvular procedures from 2015 to 2023.
  • Analyzed Medicare reimbursement data from 2015 to 2023 from the Centers for Medicare & Medicaid Services.
  • Adjusted fees for inflation into 2023 U.S. dollars.
  • Used linear regression to analyze changes over time.
  • Reimbursements for surgical and transcatheter valve procedures declined by 28.5% over nine years.
  • Average annual percent changes were −3.7% for SAVR, −5.1% for TAVR, −3.7% for MVr, and −4.1% for MitraClip.
  • Total decline per patient was $784.96 for SAVR, $624.73 for TAVR, $823.54 for MVr, and $706.12 for MitraClip.

Study Design

Type

Observational

Structured PICO

P
Population
Medicare physician reimbursement fee data from the Centers for Medicare & Medicaid Services (CMS) for surgical aortic valve replacement (SAVR), transcatheter aortic valve replacement (TAVR), mitral valve repair (MVr), and MitraClip from 2015-2023.
O
Outcome
Temporal trends of physician reimbursement fees for SAVR, TAVR, MVr, and MitraClip, calculated as average annual U.S. dollar decline, average annual percent change, and total percent change over the study period.

Physician Medicare reimbursement for surgical and transcatheter valve procedures has significantly decreased over the last decade when adjusted for inflation, potentially threatening access to quality cardiac care.

Limitations

  • Data were limited to CMS reimbursement data and may not apply to the total reimbursement market for cardiac surgical and interventional procedures from private insurers.
  • Data limited to CMS reimbursement data, which may not apply to the total reimbursement market or private insurers.

Abstract

We aimed to quantify contemporary changes in physician Medicare reimbursement for surgical and transcatheter valvular procedures. Publicly available 2015–2023 data from the Centers for Medicare & Medicaid Services were used to identify annual physician reimbursement fees for four procedures: surgical aortic valve replacement (SAVR), transcatheter aortic valve replacement (TAVR), mitral valve repair (MVr), and MitraClip. Physician reimbursement fees were adjusted for inflation into 2023 U. S. dollars. Changes over time were analyzed using linear regression to account for differences in average annual U. S. dollar decline, average annual percent change, and total percent change over the study period. Reimbursement for surgical and transcatheter valve procedures declined by a combined total of 28. 5%: 25. 8% SAVR, 34. 2% TAVR, 25. 8% MVr, and 28. 3% MitraClip. They corresponded to average annual percent changes of −3. 7% (SAVR), −5. 1% (TAVR), −3. 7% (MVr), and −4. 1% (MitraClip) —representing a collective decline in reimbursement fee per patient of 784. 96 (SAVR), 624. 73 (TAVR), 823. 54 (MVr), and 706. 12 (MitraClip) over the nine-year study span. Over the last decade, physician reimbursement for surgical and transcatheter valve procedures has significantly decreased, potentially threatening access to quality cardiac care within the heart team approach.

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Cite This Study

John et al. (2026) conducted an observational in Surgical and transcatheter valvular procedures. Temporal trend analysis (2015-2023) was evaluated on Temporal trends of physician reimbursement fees (average annual U.S. dollar decline, average annual percent change, and total percent change). Inflation-adjusted physician reimbursement for surgical and transcatheter valve procedures declined by a combined total of 28.5% between 2015 and 2023.

synapsesocial.com/papers/6a0020eac8f74e3340f9bba6https://doi.org/10.70322/cvs.2026.10004
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