Total Joint Arthroplasty: Trends in Medicare Reimbursement and Implant Prices

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 w...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2014-08, Vol.29 (8), p.1539-1544
Main Authors: Belatti, Daniel A., BS, Pugely, Andrew J., MD, Phisitkul, Phinit, MD, Amendola, Annunziato, MD, Callaghan, John J., MD
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip - economics
Arthroplasty, Replacement, Hip - utilization
Arthroplasty, Replacement, Knee - economics
Arthroplasty, Replacement, Knee - utilization
economics
Hip Prosthesis - economics
Hip Prosthesis - utilization
Humans
Knee Prosthesis - economics
Knee Prosthesis - utilization
medicare
Medicare Part A - economics
Medicare Part A - statistics & numerical data
Medicare Part A - trends
Medicare Part B - economics
Medicare Part B - statistics & numerical data
Medicare Part B - trends
Orthopedics
Orthopedics - economics
reimbursement
Reimbursement Mechanisms - economics
Reimbursement Mechanisms - utilization
Reoperation - economics
Reoperation - utilization
total joint arthroplasty
trends
United States
utilization
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.03.015