Medicare reimbursement and orthopedic surgery: past, present, and future
R Carter Clement, SB Bhat, ME Clement… - Current reviews in …, 2017 - Springer
Purpose of review This paper reviews the history and structure of Medicare reimbursement
with a focus on aspects relevant to the field of orthopedic surgery. Namely, this includes …
with a focus on aspects relevant to the field of orthopedic surgery. Namely, this includes …
Trends in Medicare reimbursement for orthopedic procedures: 2000 to 2016
Understanding trends in reimbursement is critical to the financial sustainability of orthopedic
practices. Little research has examined physician fee trends over time for orthopedic …
practices. Little research has examined physician fee trends over time for orthopedic …
Not all hip arthroplasties are created equal: increased complications and re-admissions after total hip arthroplasty for femoral neck fractures compared with …
RS Charette, M Sloan, GC Lee - The bone & joint journal, 2019 - boneandjoint.org.uk
Aims Total hip arthroplasty (THA) is gaining popularity as a treatment for displaced femoral
neck fractures (FNFs), especially in physiologically younger patients. While THA for …
neck fractures (FNFs), especially in physiologically younger patients. While THA for …
Body mass index, American society of anesthesiologists score, and Elixhauser comorbidity index predict cost and delay of care during total knee arthroplasty
ZW Hinton, AN Fletcher, SP Ryan, CJ Wu… - The Journal of …, 2021 - Elsevier
Background Body mass index (BMI), American Society of Anesthesiologists (ASA) score,
and Elixhauser Comorbidity Index are measures that are utilized to predict perioperative …
and Elixhauser Comorbidity Index are measures that are utilized to predict perioperative …
Are medicare's “comprehensive care for joint replacement” bundled payments stratifying risk adequately?
MA Cairns, PT Moskal, SM Eskildsen, RF Ostrum… - The Journal of …, 2018 - Elsevier
Background Bundled payments are meant to reduce costs and improve quality of care.
Without adequate risk adjustment, bundling may be inequitable to providers and restrict …
Without adequate risk adjustment, bundling may be inequitable to providers and restrict …
Differences in post-operative outcome between conversion and primary total hip arthroplasty
CD Qin, MM Helfrich, DW Fitz, MA Oyer… - The Journal of …, 2018 - Elsevier
Background The demand for conversion of prior hip surgery to total hip arthroplasty
(conversion THA) is likely to increase as a function of increasing US hip fracture burden in …
(conversion THA) is likely to increase as a function of increasing US hip fracture burden in …
Refining risk adjustment for the proposed CMS surgical hip and femur fracture treatment bundled payment program
MA Cairns, RF Ostrum, RC Clement - JBJS, 2018 - journals.lww.com
Background: The US Centers for Medicare & Medicaid Services (CMS) has been
considering the implementation of a mandatory bundled payment program, the Surgical Hip …
considering the implementation of a mandatory bundled payment program, the Surgical Hip …
Determinants of cost variation in total hip and knee arthroplasty: implications for alternative payment models
MD Rudy, J Bentley, N Ahuja… - JAAOS-Journal of the …, 2020 - journals.lww.com
Background: Alternative payment models have been proposed to deliver high-quality, cost-
effective care. Under these models, payments may be shared between the hospital and the …
effective care. Under these models, payments may be shared between the hospital and the …
Free falling: declining inflation-adjusted payment for arthroplasty surgeons
Background Over the past decade, there have been ongoing concerns over declining
surgeon compensation for lower extremity arthroplasty. We aimed to determine changes in …
surgeon compensation for lower extremity arthroplasty. We aimed to determine changes in …
Risk adjustment for Medicare total knee arthroplasty bundled payments
The use of bundled payments is growing because of their potential to align providers and
hospitals on the goal of cost reduction. However, such gain sharing could incentivize …
hospitals on the goal of cost reduction. However, such gain sharing could incentivize …