Journal article
Total joint arthroplasty: trends in medicare reimbursement and implant prices
The Journal of arthroplasty, Vol.29(8), pp.1539-1544
08/2014
DOI: 10.1016/j.arth.2014.03.015
PMID: 24736291
Abstract
Total joint arthroplasty (TJA) continues to be a popular target of cost control efforts. In order to provide a unique overview of financial trends facing TJA, we analyzed Medicare databases including 100% of beneficiaries, as well as industry surveys of implant list prices. Although there was a substantial increase in TJA utilization over the period 2000-2011 (+26.9%), growth has been stagnant since 2005. New coding schemes have made complicated cases more lucrative for hospitals (+2.5% to 6.5% per year), while reimbursements for uncomplicated cases have fallen (-0.7% to -0.6%). Physician reimbursements have declined on all case types (-2.5% to -2.1% per year), while list prices of orthopedic implants have risen (+4.8% to 5.5%). These trends should be kept in mind while contemplating future changes to TJA payment.
Details
- Title: Subtitle
- Total joint arthroplasty: trends in medicare reimbursement and implant prices
- Creators
- Daniel A Belatti - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IAAndrew J Pugely - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IAPhinit Phisitkul - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IAAnnunziato Amendola - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IAJohn J Callaghan - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- The Journal of arthroplasty, Vol.29(8), pp.1539-1544
- Publisher
- United States
- DOI
- 10.1016/j.arth.2014.03.015
- PMID
- 24736291
- ISSN
- 0883-5403
- eISSN
- 1532-8406
- Language
- English
- Date published
- 08/2014
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984040536002771
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