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cbsnews.com·4 min read·medium

Medicare's paying less for cataract surgery. Eye doctors are turning to moneymaking lasers.

Medicare's paying less for cataract surgery. Eye doctors are turning to moneymaking lasers.
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Medicare reimbursement cuts for cataract surgery are leading some ophthalmologists to promote laser-assisted procedures to recoup lost revenue. While both traditional and laser methods are safe, patients are increasingly paying out-of-pocket for the laser option, often driven by the perception that it provides superior results.

Why it matters

This trend highlights the intersection of declining medical reimbursements and the commercialization of elective medical procedures, impacting patient costs and healthcare decision-making.

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Tammy Chalala, a retired dietitian in New York, was thrilled with the results of her cataract surgeries, which left her with close to 20/20 vision.She said she paid nearly $4,000 out-of-pocket for her two surgeries last year because she opted to have her doctor use a laser to assist with the procedure.Chalala, 69, chose that method over the traditional scalpel after doing research online and consulting with her doctors, believing it would give her the best outcome. "It seemed like the better option," she said.Cataract surgery — one of the most common operations paid for by Medicare — typically leaves enrollees owing a few hundred dollars.

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