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At least 253 records · Page 14Linked to original sources
PubMed1991

Predicted and observed effects of the Medicare Optometry Parity Amendment.

The Medicare Parity Amendment of 1987 redefined the conditions of optometric participation and expanded coverage to include all Medicare-covered services which optometrists are authorized to perform under state law. Prior to the law, a number of studies projected costs to Medicare as a result of a change in Medicare policy. This paper reviews these studies in relation to actual Medicare expenditures from 1986 to 1988. The paper describes the impact of the Medicare amendment on payments to optometrists and shows how payments increased from $12 million in 1986 to $81 million in 1988. Optometrists substantially increased their market share of Medicare payments from 2.6 percent in 1986 to 11.1 percent in 1988. Indications suggest that a shift of patient visits from ophthalmologists to optometrists has occurred.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1991

The Medicare Optometry Parity Amendment: predicted and actual payments to optometrists and ophthalmologists.

This paper compares various costs estimates for the expansion of optometric services under the Medicare program that were developed prior to the enactment the Medicare Parity Amendment of 1986. The new law, effective April 1, 1987 redefines the conditions of optometric participation and expanded coverage to include all Medicare covered services for which optometrists are authorized to perform under the state law. The paper describes the impact of the Medicare amendment with regard to payments to optometrists and ophthalmologists. Payments to optometrists increased from $12 million in 1986, a year before the Medicare Amendment to $81 million in 1988, the first full year after the law's implementation increasing their market share of Medicare payments from 2.6% to 11.1%. Ophthalmology incurred a significant decrease in market share from 97.9% to 88.9% during this period.

Direct Service Costs↗
PubMed1990

A survey of Missouri doctors of optometry who have not been certified to use therapeutic pharmaceutical agents.

This study surveyed all optometrists in Missouri who had not been certified to use TPAs to determine their attitudes regarding this recent expansion in the legally permitted scope of practice. About half of those who were DPA certified doctors plan to seek TPA certification, however only about a third of those without DPA certification plan on doing so. The most common reason given by DPA certified optometrists for not obtaining TPA certification was lack of time to meet the educational requirements. Most non-DPA certified doctors did not plan to seek TPA credentials because of impending retirement. Few of either group felt that their interactions with ophthalmologists had been adversely affected by the change in the optometric practice act.

Certification↗
PubMed1990

Increased scope of practice: a survey of Missouri doctors of optometry.

This study attempts to assess the effects on the Missouri optometric community resultant from the recent expansion in the scope of practice to include the management of ocular disease with pharmaceutical agents. A majority of those responding reported they felt comfortable in providing such services. They also reported an increase in income and patient retention. Improved relations with ophthalmologists and a greater willingness to comanage patients were perceived by some as other benefits. Over half of the respondents have received referrals from primary care physicians for therapeutic services.

Certification↗