ArticleClinical orthopaedics and related research2012
Using financial incentives to improve value in orthopaedics.
Article in Clinical orthopaedics and related research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Strategies to Improve Start Time in the Operating Theatre: a Systematic Review.Journal of medical systems · 2018Pooled it
- Current status of cost utility analyses in total joint arthroplasty: a systematic review.Clinical orthopaedics and related research · 2015Pooled it
- Small Social Incentives Did Not Improve the Survey Response Rate of Patients Who Underwent Orthopaedic Surgery: A Randomized Trial.Clinical orthopaedics and related research · 2019Trial
- No Difference in Early Analgesia Between Liposomal Bupivacaine Injection and Intrathecal Morphine After TKA.Clinical orthopaedics and related research · 2017Trial
- Top Three Healthcare Trends in Orthopaedics Affecting Musculoskeletal Care in the Elderly.Current aging science · 2025Review
- How Did Orthopaedic Surgeons Perform in the 2018 Centers for Medicaid & Medicare Services Merit-based Incentive Payment System?Clinical orthopaedics and related research · 2022Article
- Understanding the factors that affect the appropriateness of rheumatology referrals.BMC health services research · 2021Article
- Article
- Costs of open, arthroscopic and combined surgery for developmental dysplasia of the hip.Journal of hip preservation surgery · 2020Article
- Development and validation of risk-adjustment models for elective, single-level posterior lumbar spinal fusions.Journal of spine surgery (Hong Kong) · 2019Article
- Short-term functional recovery after total joint arthroplasty is unaffected by bundled payment participation.Arthroplasty today · 2019Article
- Computerized Adaptive Testing for Patient Reported Outcomes in Ankle Fracture Surgery.Foot & ankle international · 2018Article
- Contingent Valuation Studies in Orthopaedic Surgery: A Health Economic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2018Review
- Psychometrics of the Patient-Reported Outcomes Measurement Information System Physical Function instrument administered by computerized adaptive testing and the Disabilities of Arm, Shoulder and Hand in the orthopedic elbow patient population.Journal of shoulder and elbow surgery · 2018Article
- Bundled Payments in Total Joint Replacement: Keeping Our Care Affordable and High in Quality.Current reviews in musculoskeletal medicine · 2017Review
- Direct Cost Analysis of Outpatient Arthroscopic Rotator Cuff Repair in Medicare and Non-Medicare Populations.Orthopaedic journal of sports medicine · 2016Article
- Episode of Care Payments in Total Joint Arthroplasty and Cost Minimization Strategies.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2016Review
- Risk factors for early revision after total hip arthroplasty.Arthritis care & research · 2014Article
- Continuous femoral nerve block using 0.125% bupivacaine does not prevent early ambulation after total knee arthroplasty.Clinical orthopaedics and related research · 2014Article
- Understanding how orthopaedic surgery practices generate value for healthcare systems.Clinical orthopaedics and related research · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA variety of reforms to traditional approaches to provider payment and benefit design are being implemented in the United States. There is increasing interest in applying these financial incentives to orthopaedics, although it is unclear whether and to what extent they have been implemented and whether they increase quality or reduce costs. QUESTIONS/PURPOSES: We reviewed and discussed physician- and patient-oriented financial incentives being implemented in orthopaedics, key challenges, and prerequisites to payment reform and value-driven payment policy in orthopaedics.
methodsWe searched the MEDLINE database using as search terms various provider payment and consumer incentive models. We retrieved a total of 169 articles; none of these studies met the inclusion criteria. For incentive models known to the authors to be in use in orthopaedics but for which no peer-reviewed literature was found, we searched Google for further information.
resultsProvider financial incentives reviewed include payments for reporting, performance, and patient safety and episode payment. Patient incentives include tiered networks, value-based benefit design, reference pricing, and value-based purchasing. Reform of financial incentives for orthopaedic surgery is challenged by (1) lack of a payment/incentive model that has demonstrated reductions in cost trends and (2) the complex interrelation of current pay schemes in today's fragmented environment. Prerequisites to reform include (1) a reliable and complete data infrastructure; (2) new business structures to support cost sharing; and (3) a retooling of patient expectations.
conclusionsThere is insufficient literature reporting the effects of various financial incentive models under implementation in orthopaedics to know whether they increase quality or reduce costs. National concerns about cost will continue to drive experimentation, and all anticipated innovations will require improved collaboration and data collection and reporting.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.