Research from Jiro's real-world data

Industry Analysis · November 2026

Medicare Pays 14% Less for Surgeries on Female Anatomy

Commercial insurers mirror Medicare’s gap rather than correcting it, paying an average of $167 less per female-anatomy procedure in 2025 claims versus $124 under Medicare.

Same procedure, different anatomy

14%

Medicare payment gap

Less paid for the female-anatomy procedure in the median of 55 matched pairs. Commercial insurers widen the gap to $167 per procedure.

Practice Economics · October 2026

GI’s Scale Gap Is Common. Its Second-Procedure Economics Are Not.

Larger independent GI groups post prices 12.5% above small practices, a common scale advantage. What sets GI apart is how often same-visit second procedures are reduced, and how deeply.

The scale gap is real, but not exceptional

12.5%

Posted-price gap

The difference between larger and small independent GI practices. On paid claims, the gap is approximately 8% to 10%.

Practice Impact Analysis · September 2026

Who Pays for CMS’s Modifier 25 Proposal?

A claims-based analysis of the nearly $1 billion payment impact across practice settings and specialties.

Private practices bear the brunt

$889M

Reallocated annually

In Medicare fee-for-service payments, with 82% of the modeled reductions landing on private practices and solo physicians.