RSS-Feed abonnieren
DOI: 10.1055/s-0037-1620237
Eye Care Industry Analysis
Publikationsverlauf
14. Februar 2017
05. Dezember 2017
Publikationsdatum:
23. Januar 2018 (online)
Abstract
Eye care is a large and growing industry in the United States. Demographic and lifestyle trends will spur increased demand in coming years, but industry earnings will depend on the state of regulation and health care reform. Ophthalmologists and optometrists are the two major service providers in the industry. While the markets for both professions are currently fragmented, the wave of consolidation and commoditization in health care will likely catch up to eye care in coming years. Scope of practice legislation continues to be a topic of heated debate. As it evolves, consolidated practices will move toward an integrated model that uses both types of providers to meet demand.
-
References
- 1 Vision Industry Overview. Harris Williams & Co.; 2015. . Available at: http://www.harriswilliams.com/sites/default/files/content/hcls_vision_industry_overview.pdf
- 2 Kalorama Information. Advances in Ophthalmology: Markets in the Treatment of Eye Disorders and Corrective Vision. 2nd ed. 2009
- 3 American Academy of Ophthalmology. Eye Health Statistics. 2016. Available at: https://www.aao.org/newsroom/eye-health-statistics# . Accessed December 20, 2017
- 4 Statista. Number of Lasik Surgeries in the US from 1996–2020. 2016. Available at: https://www.statista.com/statistics/271478/number-of-lasik-surgeries-in-the-us/ . Accessed December 20, 2017
- 5 US Department of Health and Human Services, Administration of Community Living. Projected Future Growth of the Older Population. 2014. Available at: https://aoa.acl.gov/Aging_Statistics/future_growth/future_growth.aspx . Accessed December 20, 2017
- 6 Prevent Blindness. New Vision Problems in the US. 2012. Available at: http://www.preventblindness.org/new-vision-problems-us-report . Accessed December 20, 2017
- 7 Centers for Disease Control and Prevention. Increasing Prevalence of Diagnosed Diabetes. 2012. Available at: https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a4.htm . Accessed December 20, 2017
- 8 The Vision Council. Eyes Overexposed: The Digital Device Dilemma. 2016. . Available at: https://visionimpactinstitute.org/research/eyes-overexposed-digital-device-dilemma/
- 9 Oliver K. Optometrists in the US. IBIS World Industry Reports; 2016
- 10 Dolgin E. The myopia boom. Nature 2015; 519 (7543): 276-278
- 11 DeCarlo J. Eye Glasses and Contact Lens Stores in the US. IBIS World Industry Reports; 2016
- 12 US Department of Health and Human Services. 20 million people have gained health insurance coverage because of the Affordable Care Act. 2016. Available at: http://www.hhs.gov/about/news/2016/03/03/20-million-people-have-gained-health-insurance-coverage-because-affordable-care-act-new-estimates . Accessed December 20, 2017
- 13 Dang S, Gudgel D. The Affordable Care Act's Children's Eye Health Benefit. American Academy of Ophthalmology. 2014. Available at: https://www.aao.org/eye-health/news/affordable-care-act-eye-benefit . Accessed December 20, 2017
- 14 Stuart A. The Affordable Care Act: A Look at its Impact on Ophthalmology. Eyenet; 2015
- 15 Jackson HC. 6 Promises Trump has made about health care. Politico. Available at: https://www.politico.com/story/2017/03/trump-obamacare-promises-236021 . Accessed March 17, 2017
- 16 Congressional Budget Office Cost Estimate. H.R. 1628, American Health Care Act of 2017. Congressional Budget Office; 2017. Available at: https://www.cbo.gov/publication/52752
- 17 National Health Expenditures 2015 Highlights. Centers for Medicare and Medicaid Services; 2016. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html
- 18 Quality Measures. Centers for Medicare and Medicaid Services. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html . Accessed January 2, 2018
- 19 Bendix J. From quantity to quality: Meeting the new demands of value-based care. Medical Economics. 2015. Available at: http://medicaleconomics.modernmedicine.com/medical-economics/news/quantity-quality-meeting-new-demands-value-based-care?page=full . Accessed December 20, 2017
- 20 Van Dyke M. MACRA and the Giant Move into Value-based Payment. Hospital and Health Networks Magazine. 2016. Available at: http://www.hhnmag.com/articles/7832-the-giant-move-into-value-based-payment-via-macra . Accessed December 20, 2017
- 21 American Association of Family Physicians. MACRA Basics. 2016. Available at: http://www.aafp.org/practice-management/payment/medicare-payment/faq.html#macraimpact . Accessed December 20, 2017
- 22 American Academy of Ophthalmology. MACRA: Frequently Asked Questions. 2016. Available at: https://www.aao.org/advocacy/MACRA-medicare-access-chip-reauthorization-act/faqs . Accessed December 20, 2017
- 23 Chan TY, Rai AS, Lee E, Glicksman JT, Hutnik CM. Needs assessment of ophthalmology education for primary care physicians in training: comparison with the International Council of Ophthalmology recommendations. Clin Ophthalmol 2011; 5: 311-319
- 24 O'Byrne TJ, Shah ND, Wood D. , et al. Episode-based payment: evaluating the impact on chronic conditions. Medicare Medicaid Res Rev 2013; 3 (03)
- 25 Meszaros L. Ophthalmologists to see new payment models, increased patient access. Ophthalmology Times. 2014. Available at: http://ophthalmologytimes.modernmedicine.com/ophthalmologytimes/content/tags/2014-glaucoma-360/ophthalmologists-see-new-payment-models-increased-?page=full . Accessed December 20, 2017
- 26 Steinberg EP, Javitt JC, Sharkey PD. , et al. The content and cost of cataract surgery. Arch Ophthalmol 1993; 111 (08) 1041-1049
- 27 Maloney WF. The remarkable evolution of cataract surgery makes the last 20 years “a golden age.” Ocular Surgery News. 2002. Available at: https://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news/%7B9b5f0958-b3bf-49cd-a4c6-350b6edcdec3%7D/the-remarkable-evolution-of-cataract-surgery-makes-the-past-20-years-a-golden-age . Accessed December 20, 2017
- 28 Harrison L. How Medicare Reimbursement Cuts Are Reshaping Ophthalmology. Medscape. 2015. Available at: http://www.medscape.com/viewarticle/856272 . Accessed December 20, 2017
- 29 American Society of Cataract and Refractive Surgery. 2017 Medicare Physician Fee Schedule Proposed Rule Released. 2016. Available at: http://www.ascrs.org/about-ascrs/news-about/2017-medicare-physician-fee-schedule-proposed-rule-released-ascrs-and-ophthalmic-community-advocacy . Accessed December 20, 2017
- 30 American Academy of Ophthalmology. Differences in Education Between Optometrists and Ophthalmologists. 2011. Available at: https://www.aao.org/about/policies/differences-education-optometrists-ophthalmologists . Accessed December 20, 2017
- 31 Rosenthal E. Apprehensive, Many Doctors Shift to Jobs with Salaries. The New York Times. 2014. Available at: https://www.nytimes.com/2014/02/14/us/salaried-doctors-may-not-lead-to-cheaper-health-care.html . Accessed December 20, 2017
- 32 Pinto J. Practice management: Facts, industry trends and performance benchmarks. Ocular Surgery News. 2008. Available at: http://www.healio.com/ophthalmology/practice-management/news/online/%7B95f91829-b0cd-46b2-9614-756f6773f8b5%7D/practice-management-facts-industry-trends-and-performance-benchmarks . Accessed December 20, 2017
- 33 US Department of Health and Human Services. Physician Supply and Demand: Projections to 2020. Available at: https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/physician2020projections.pdf . Accessed December 20, 2017
- 34 Eden J, Berwick D, Wilensky G. Graduate Medical Education That Meets the Nation's Health Needs. Washington, DC: National Academies Press; 2014
- 35 Schleiter KE. Ophthalmologists, optometrists, and scope of practice concerns. Virtual Mentor 2010; 12 (12) 941-945
- 36 Wolkoff L. Survey finds public is confused about who performs eye care. Ocular Surgery News. 2006. Available at: https://www.healio.com/ophthalmology/news/print/ocular-surgery-news/%7B9c4a89a4-0abf-4357-a518-c622bc6b47c1%7D/survey-finds-public-is-confused-about-who-performs-eye-care . Accessed January 2, 2018
- 37 Lubell J. . In Scope. AOA Focus. 2014. Available at: http://www.aoa.org/news/aoa-focus/novemberdecember-2014/in-scope?sso=y . Accessed December 20, 2017
- 38 Passut J. Kentucky governor signs law to expand optometric scope of practice. Eye World; . March 2011. . Available at: https://www.eyeworld.org/article-kentucky-governor-signs-law-to-expand-optometric-scope-of-practice
- 39 Boyle EL. Relationship between MDs, ODs changing as integrated eye care gains in popularity. Ocular Surgery News. 2009. Available at: https://www.healio.com/ophthalmology/practice-management/news/print/ocular-surgery-news/%7B05f02ee9-f487-483c-9acd-6eb1624f688a%7D/relationship-between-mds-ods-changing-as-integrated-eye-care-gains-in-popularity . Accessed December 20, 2017
- 40 Pathipati A. Doctor-patient relationships evolving with technology. The Sacramento Bee. 2015. Available at: http://www.sacbee.com/opinion/op-ed/soapbox/article30777270.html . Accessed December 20, 2017
- 41 Herman B. Physician-Generated Hospital Revenue vs. Salary: 48 Statistics. Becker's Hospital Review. 2012. Available at: http://www.beckershospitalreview.com/compensation-issues/physician-generated-hospital-revenue-vs-salary-48-statistics.html . Accessed December 20, 2017
- 42 Arvantes J. Newly Minted FPs Agree with Survey That Shows Growing Trend Toward Salaried Positions. American Association of Family Physicians. 2012. Available at: http://www.aafp.org/news/education-professional-development/20120118employeddocs.html . Accessed December 20, 2017
- 43 Carroll M. Survey Shows 90% of Future Physicians Intend to Avoid Private Practice. Advantage Healthcare Consulting. 2015. Available at: https://www.advadm.com/survey-shows-90-of-future-physicians-intend-to-avoid-private-practice/ . Accessed December 20, 2017
- 44 Pinto J. Principles of optometrist compensation. Ocular Surgery News. 2010. Available at: http://www.healio.com/ophthalmology/practice-management/news/print/ocular-surgery-news/%7B8de80616-781f-44b9-bbab-4787e93189ce%7D/principles-of-optometrist-compensation . Accessed December 20, 2017
- 45 Bethke W. What's the future of private practice? Review of Ophthalmology. 2011. Available at: https://www.reviewofophthalmology.com/article/whats-the-future-of-private-practice . Accessed December 20, 2017
- 46 Kent C. Can a comprehensive practice still survive? Review of Ophthalmology. 2014. Available at: https://www.reviewofophthalmology.com/article/can-a-comprehensive-practice-still-survive . Accessed December 20, 2017
- 47 CMS assesses office-based cataract surgery. Ocular Surgery News. 2016. Available at: https://www.healio.com/ophthalmology/practice-management/news/print/ocular-surgery-news/%7B04bf9725-e0f6-42d7-bc18-b5345aaf3335%7D/cms-assesses-office-based-cataract-surgery . Accessed January 2, 2018
- 48 Ianchulev T, Litoff D, Ellinger D, Stiverson K, Packer M. Office-based cataract surgery: population health outcomes study of more than 21,000 cases in the United States. Ophthalmology 2016; 123 (04) 723-728
- 49 Same-day bilateral cataract surgery gains ground, but obstacles remain. Ocular Surgery News. 2015. Available at: http://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news/%7B6b9588ce-f9ef-48ed-af46-e5ce25aa9ca9%7D/same-day-bilateral-cataract-surgery-gains-ground-but-obstacles-remain . Accessed December 20, 2017
- 50 Schachat AP. Simultaneous bilateral endophthalmitis after immediate sequential bilateral cataract surgery: what's the risk of functional blindness?. Am J Ophthalmol 2014; 158 (02) 410-411
- 51 Bethke W. Is bilateral, same-day cataract the future? Review of Ophthalmology. 2015. Available at: https://www.reviewofophthalmology.com/article/is-bilateral-sameday-cataract-the-future . Accessed December 20, 2017
- 52 Krader C. Risk analysis finds good safety for bilateral, same-day cataract surgery. Ophthalmology Times. 2015. Available at: http://ophthalmologytimes.modernmedicine.com/ophthalmologytimes/news/risk-analysis-finds-good-safety-bilateral-same-day-cataract-surgery?page=0,1 . Accessed December 20, 2017