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Medical Industry Feature · Aug 3, 2026

Secondary IOL Surgery Is Unprofitable Under Current Medicare Reimbursement Rates. Now What?

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  • Overview

    How much money are retina surgeons losing on secondary IOL procedures? In this episode of Clinical Minute: Retina, host Maria Berrocal, MD, speaks with Nimesh "Nemo" Patel, MD, whose research uncovered how many cases are unprofitable under current Medicare reimbursement rates, and assess how much cash surgeons burn per case. Dr. Patel discusses the implications for patient access, the advocacy efforts underway through the ASRS Health Economics Committee, and why closing the gap between reimbursement and operative complexity will require direct engagement with policymakers. 

  • Overview

    How much money are retina surgeons losing on secondary IOL procedures? In this episode of Clinical Minute: Retina, host Maria Berrocal, MD, speaks with Nimesh "Nemo" Patel, MD, whose research uncovered how many cases are unprofitable under current Medicare reimbursement rates, and assess how much cash surgeons burn per case. Dr. Patel discusses the implications for patient access, the advocacy efforts underway through the ASRS Health Economics Committee, and why closing the gap between reimbursement and operative complexity will require direct engagement with policymakers. 

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