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 …

Trends in Medicare reimbursement for orthopedic procedures: 2000 to 2016

AEM Eltorai, WM Durand, JM Haglin, LE Rubin… - …, 2018 - journals.healio.com
Understanding trends in reimbursement is critical to the financial sustainability of 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 …

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 …

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 …

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 …

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 …

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 …

Free falling: declining inflation-adjusted payment for arthroplasty surgeons

SK Nayar, A MacMahon, JD Mikula… - The Journal of …, 2021 - Elsevier
Background Over the past decade, there have been ongoing concerns over declining
surgeon compensation for lower extremity arthroplasty. We aimed to determine changes in …

Risk adjustment for Medicare total knee arthroplasty bundled payments

RC Clement, PB Derman, MM Kheir, AE Soo… - …, 2016 - journals.healio.com
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 …