{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:00:53Z","timestamp":1780725653408,"version":"3.54.1"},"reference-count":24,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","goldjournal.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urology"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.urology.2025.10.018","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T07:10:59Z","timestamp":1760512259000},"page":"123-128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Urologist Participation in Medicare Are Impacted by Subspecialty, Tenure, and Practice Type: A Retrospective Analysis of Opt-out Affidavits"],"prefix":"10.1016","volume":"207","author":[{"given":"Thriaksh","family":"Rajan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Revnew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bobby","family":"Najari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nannan","family":"Thirumavalavan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy","family":"Abou Ghayda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.urology.2025.10.018_bib1","first-page":"1","article-title":"Medicare volume growth and shift in payments from physicians to non-physician practitioners under statutory budget neutrality","volume":"61","author":"Christensen","year":"2024","journal-title":"Inquiry"},{"key":"10.1016\/j.urology.2025.10.018_bib2","first-page":"43","article-title":"Provider opt-out under medicare private contracting","volume":"26","author":"Buczko","year":"2004","journal-title":"Health Care Financ Rev"},{"key":"10.1016\/j.urology.2025.10.018_bib3","first-page":"40","year":"2019"},{"key":"10.1016\/j.urology.2025.10.018_bib4","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.urpr.2016.04.006","article-title":"Increasing use of advanced practice providers for urological office procedural care in the United States","volume":"4","author":"Erickson","year":"2017","journal-title":"Urol Pract"},{"key":"10.1016\/j.urology.2025.10.018_bib5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.urology.2019.01.013","article-title":"Impact of medicare office visit payment reform on urology practices","volume":"126","author":"Modi","year":"2019","journal-title":"Urology"},{"key":"10.1016\/j.urology.2025.10.018_bib6","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/j.urology.2013.04.080","article-title":"Recent trends in the urology workforce in the United States","volume":"82","author":"Pruthi","year":"2013","journal-title":"Urology"},{"key":"10.1016\/j.urology.2025.10.018_bib7","article-title":"Factors affecting accountable care organizations\u2019 decisions to remain in or exit the Medicare Shared Savings Program following pathways to success","volume":"2","author":"Ying","year":"2024","journal-title":"Health Aff Sch"},{"key":"10.1016\/j.urology.2025.10.018_bib8","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.urology.2015.12.053","article-title":"Urologist participation in Medicare Shared Savings Program Accountable Care Organizations (ACOs)","volume":"90","author":"Hawken","year":"2016","journal-title":"Urology"},{"key":"10.1016\/j.urology.2025.10.018_bib9","unstructured":"Opt Out Affidavits | CMS Data. Published online March 24, 2025. Accessed April 20, 2025. \u3008https:\/\/data.cms.gov\/provider-characteristics\/medicare-provider-supplier-enrollment\/opt-out-affidavits\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib10","unstructured":"Fellowships Societies - American Urological Association. February 3, 2025. Accessed April 20, 2025. \u3008https:\/\/www.auanet.org\/membership\/membership-committees\/residents-and-fellows-committee\/fellowships\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib11","doi-asserted-by":"crossref","first-page":"2460","DOI":"10.1007\/s11606-019-05246-6","article-title":"Factors associated with psychiatrist opt-out from US Medicare: an observational study","volume":"34","author":"Yu","year":"2019","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.urology.2025.10.018_bib12","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet Lond Engl"},{"key":"10.1016\/j.urology.2025.10.018_bib13","unstructured":"Maganty A., Shahinan V., Hollenbeck B.K. Medicare Physician Payment Reform and the Impact on Urologists - American Urological Association. February 1, 2022. Accessed April 20, 2025. \u3008https:\/\/auanews.net\/issues\/articles\/2022\/february-2022\/medicare-physician-payment-reform-and-the-impact-on-urologists\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib14","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s13670-014-0106-5","article-title":"Evaluation and management of the geriatric urologic oncology patient","volume":"4","author":"McKibben","year":"2015","journal-title":"Curr Geriatr Rep"},{"key":"10.1016\/j.urology.2025.10.018_bib15","unstructured":"The American Urological Association Releases 2023 AUA Census Results - American Urological Association. Accessed May 11, 2025. \u3008https:\/\/www.auanet.org\/about-us\/media-center\/press-center\/the-american-urological-association-releases-2023-aua-census-results\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib16","unstructured":"Manage Your Enrollment | CMS. September 10, 2024. Accessed April 20, 2025. \u3008https:\/\/www.cms.gov\/medicare\/enrollment-renewal\/providers-suppliers\/chain-ownership-system-pecos\/manage-your-enrollment\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib17","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.urology.2014.11.054","article-title":"Variability in medicare utilization and payment among urologists","volume":"85","author":"Ko","year":"2015","journal-title":"Urology"},{"key":"10.1016\/j.urology.2025.10.018_bib18","doi-asserted-by":"crossref","DOI":"10.1001\/jamahealthforum.2025.2267","article-title":"Trends in physician exit from fee-for-service medicare","volume":"6","author":"Neprash","year":"2025","journal-title":"JAMA Health Forum"},{"key":"10.1016\/j.urology.2025.10.018_bib19","unstructured":"Why do Medicare pay cuts matter? Ask this doctor\u2019s patients American Medical Association 2025.Accessed September 8, 2025\u3008https:\/\/www.ama-assn.org\/practice-management\/medicare-medicaid\/why-do-medicare-pay-cuts-matter-ask-doctor-s-patients\u3009."},{"key":"10.1016\/j.urology.2025.10.018_bib20","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.8956","article-title":"Variation in practice patterns and reimbursements between female and male urologists for medicare beneficiaries","volume":"2","author":"Nam","year":"2019","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.urology.2025.10.018_bib21","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1097\/AOG.0000000000004599","article-title":"Reimbursement for female-specific compared with male-specific procedures over time","volume":"138","author":"Polan","year":"2021","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.urology.2025.10.018_bib22","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/UPJ.0000000000000360","article-title":"A comparison of urological consultations in a private vs academic setting","volume":"10","author":"Drexelius","year":"2023","journal-title":"Urol Pract"},{"key":"10.1016\/j.urology.2025.10.018_bib23","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.1097\/01.ju.0000142016.51680.fa","article-title":"The value of your time: evaluation of effects of changes in medicare reimbursement rates on the practice of urology","volume":"172","author":"Lotan","year":"2004","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2025.10.018_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.wneu.2025.123720","article-title":"Trends in neurosurgeons signing medicare opt-out affidavits","volume":"195","author":"Anne","year":"2025","journal-title":"World Neurosurg"}],"container-title":["Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429525010027?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429525010027?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:08:51Z","timestamp":1780722531000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090429525010027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":24,"alternative-id":["S0090429525010027"],"URL":"https:\/\/doi.org\/10.1016\/j.urology.2025.10.018","relation":{},"ISSN":["0090-4295"],"issn-type":[{"value":"0090-4295","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Urologist Participation in Medicare Are Impacted by Subspecialty, Tenure, and Practice Type: A Retrospective Analysis of Opt-out Affidavits","name":"articletitle","label":"Article Title"},{"value":"Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urology.2025.10.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}