ReviewCurrent reviews in musculoskeletal medicine2017
Medicare reimbursement and orthopedic surgery: past, present, and future.
Review in Current reviews in musculoskeletal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Adoption outpaces reimbursement in navigation-assisted pediatric posterior spinal fusion.Spine deformity · 2026Article
- Current Procedural Terminology Codes Combined With Hip and Femur Diagnosis-Related Groups Provide a More Accurate Assessment of Costs.Advances in orthopedics · 2026Article
- Defining "completely better" status through patient-reported outcome measures after arthroscopic rotator cuff repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Establishing a Per-Hour Rate for Early-Career Adult Reconstruction Surgeons Performing Medicare Primary Total Joint Arthroplasty.Arthroplasty today · 2024Article
- The Utility of a Comprehensive Hip Fracture Program: Readmission Rates May Not Be a Reasonable Marker of Success.Cureus · 2024Article
- The Trend of Medicare Reimbursement for Total Joint Arthroplasty: Using Mathematical Models to Predict Possible Per-Hour Rate Out to 2030.Arthroplasty today · 2024Article
- Health care disparities in surgical treatment of rotator cuff disease.JSES international · 2022Article
- Validation of Veterans RAND 12-Item Physical Function Survey in Minimally Invasive Transforaminal Lumbar Interbody Fusion.International journal of spine surgery · 2022Article
- Team Relationships and Performance: Evidence from Healthcare Referral Networks.Management science · 2022Article
- Between 2000 and 2020, Reimbursement for Orthopaedic Foot and Ankle Surgery Decreased by 30.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Inflation-Adjusted Medicare Reimbursement Has Decreased for Orthopaedic Sports Medicine Procedures: Analysis From 2000 to 2020.Orthopaedic journal of sports medicine · 2022Article
- Medicaid Payer Status Is Associated With Increased 90-Day Resource Utilization, Reoperation, and Infection Following Aseptic Revision Total Hip Arthroplasty.The Iowa orthopaedic journal · 2022Article
- Unplanned Emergency and Urgent Care Visits After Outpatient Orthopaedic Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Analysis of Charges and Payments for Outpatient Arthroscopic Meniscectomy From 2005 to 2014: Hospital Reimbursement Increased Steadily as Surgeon Payments Declined.Orthopaedic journal of sports medicine · 2021Article
- Regulation of orthopaedic devices: Future implications for research and innovation.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Validating the VR-12 Physical Function Instrument After Anterior Cervical Discectomy and Fusion with SF-12, PROMIS, and NDI.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Article
- Psychometric Evaluation of Patient-reported Outcomes Measurement Information System Physical Function Computer Adaptive Testing in Minimally Invasive Lumbar Spine Surgery: An Analysis of Responsiveness, Coverage, Discriminant Validity, and Concurrent Validity.The Journal of the American Academy of Orthopaedic Surgeons · 2020Article
- Correlation between NDI, PROMIS and SF-12 in cervical spine surgery.The spine journal : official journal of the North American Spine Society · 2020Article
- Financial Implications for the Treatment of Medicare Patients With Isolated Intertrochanteric Femur Fractures: Disproportionate Losses Among Healthier Patients.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Disparities in Access to Musculoskeletal Care: Narrowing the Gap: AOA Critical Issues Symposium.The Journal of bone and joint surgery. American volume · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purpose of reviewThis paper reviews the history and structure of Medicare reimbursement with a focus on aspects relevant to the field of orthopedic surgery. Namely, this includes Parts A and B, with particular attention paid to the origins of Diagnosis Related Groups (DRG) and the physician fee schedule, respectively. We then review newer policies affecting orthopedic surgeons. RECENT
findingsRecent Medicare reforms relevant to our field include readmission penalties, the evolution of bundled payments including the mandatory Comprehensive Care for Joint Replacement (CJR) and Surgical Hip and Femur Fracture Treatment (SHFFT) programs, and the new mandatory Merit-based Incentive Payment System (MIPS) pay-for-performance program. Providers are facing an increasingly complex payment system and are required to assume growing levels of financial risk. Physicians and practices who prepare for these changes will likely fare best and may even benefit.
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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.