June 18, 2026 · Obstetrics and gynecology · DOI: 10.1097/AOG.0000000000006294

Reconciling the Literature on Sex-Based Disparities in Reimbursement

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The authors investigate the persistent sex-based disparities in surgical reimbursement, particularly in gynecologic care, and seek to understand their underlying causes. They conclude that significant payment disparities exist at the work relative value unit (RVU) level, which contribute to unequal healthcare resource allocation and the systemic devaluation of female patients. The authors advocate for comprehensive reforms to promote equity in reimbursement practices rather than limited adjustments to specific procedural codes.

Asha B McClurg, Louise P King, Christopher Robertson

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