health

Medicare's Paying Less for Cataract Surgery. Eye Doctors Are Turning to Moneymaking Lasers.

August 11, 2026 / 8:40 AM EDT / KFF Health News

Medicare's Paying Less for Cataract Surgery. Eye Doctors Are Turning to Moneymaking Lasers.

TL;DR

  • Patients are increasingly opting for laser-assisted cataract surgery, leading to higher out-of-pocket expenses.
  • Research from organizations like the American Academy of Ophthalmology indicates that laser surgery does not provide demonstrably better outcomes or fewer complications than traditional scalpel methods.
  • Doctors may bill patients extra for laser use when it's specifically for vision correction purposes like inserting premium lenses or fixing astigmatism, which are not typically covered by traditional Medicare.
  • The adoption of laser technology is partly driven by a financial incentive for practices, as Medicare reimbursement rates for standard cataract surgery have decreased.
  • While some patients perceive laser surgery as offering superior precision and are willing to pay more for it, others feel it's being used by doctors primarily as a revenue generator.