MP72-08 PREDICTING PEAK PRODUCTIVITY IN UROLOGIC PRACTICE VIA WORK-RELATED VALUES

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP72-08 PREDICTING PEAK PRODUCTIVITY IN UROLOGIC PRACTICE VIA WORK-RELATED VALUES Logan Briggs, Jamie Ye, Muhieddine Labban, Peter Herzog, David-Dan nguyen, Christopher J.D. Wallis, Christopher Wolter, and Quoc-Dien Trinh Logan BriggsLogan Briggs More articles by this author , Jamie YeJamie Ye More articles by this author , Muhieddine LabbanMuhieddine Labban More articles by this author , Peter HerzogPeter Herzog More articles by this author , David-Dan nguyen David-Dan nguyen More articles by this author , Christopher J.D. WallisChristopher J.D. Wallis More articles by this author , Christopher WolterChristopher Wolter More articles by this author , and Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003340.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There are limited data on which physician and practice factors are associated with increased productivity. Work-relative value units (wRVUs), the basis for the Center for Medicare & Medicaid Services (CMS) and private payers’ reimbursements, are commonly used to estimate physician productivity. We aimed to determine what factors are associated with urologic wRVUs productivity. METHODS: The CMS database from 2017 to 2018 was retrospectively queried for urologic Medicare provider demographics and procedural/service details. Urologists’ medical school graduation year was used to estimate years in practice and urologist’s generation (Millennial, Gen X, Baby Boomer, or Post-War). Treated patients’ demographics were obtained. Adjusted and unadjusted linear mixed models were performed to predict Medicare specific wRVU production. RESULTS: A total of 6,773 practicing urologists (8.8% female) across the US were included: 10.1% Millennials, 44.6% Gen X, 39.8% Baby Boomers, and 5.6% Post War urologists. Additionally, 57% were general, 18% were oncologic, 17% were endo/MIS, 4.4% were men’s health, 3.2% were FPMRS, and 0.4% were reconstructive urologists. Millennial, Gen X, Baby Boomer, and Post-War urologists produced 1115, 1997, 2104, and 1287 Medicare wRVUs per year, respectively. In adjusted analyses, predictors of wRVU productivity included Gen X and Baby Boomer generations, FPMRS, men’s health, and oncologic sub-specialization, male gender, generating more wRVUs from inpatient procedures and less from office (especially new-patient office) visits, and seeing fewer educated and impoverished patients. CONCLUSIONS: The most significant predictor of urologists’ productivity is practice experience, which follows a bell curve over time that peaks 20 to 35 years after graduation; the average Gen X or Baby Boomer urologist produced nearly double the annual Medicare wRVUs of Millennial or Post-War urologists. Further work is needed to incorporate quality metrics into wRVUs or reimbursements, and to ensure that patient demographics do not affect or predict reimbursement. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1027 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Logan Briggs More articles by this author Jamie Ye More articles by this author Muhieddine Labban More articles by this author Peter Herzog More articles by this author David-Dan nguyen More articles by this author Christopher J.D. Wallis More articles by this author Christopher Wolter More articles by this author Quoc-Dien Trinh More articles by this author Expand All Advertisement PDF downloadLoading ...