ArticleArthroplasty today2020
Hospital and Surgeon Medicare Reimbursement Trends for Total Joint Arthroplasty.
Article in Arthroplasty today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 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.
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Who cites it
30 citing papers in PubMed.
- Three-Dimensional Estimation of the Femoral Head Center From Trochanteric Landmarks in Japanese Female Patients With Developmental Dysplasia of the Hip.Orthopaedic surgery · 2026Article
- Gender-Based Differences in Arthroplasty Utilization Across Two Tertiary Academic Centers.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Geographic Variability in Medicare Hospital Reimbursement for Primary Total Hip and Knee Arthroplasty Episodes of Care From 2013 to 2023.Arthroplasty today · 2026Article
- Implant prices and physician reimbursement have declined more than total costs and hospital payments in total shoulder arthroplasty.JSES international · 2026Article
- Trends in Discharge to Institutional Post-Acute Care After Total Joint Arthroplasty in the United States and Canada.Journal of the American Geriatrics Society · 2026Article
- Medicare Reimbursement Trends for Mandibular Fracture Repair, 2000-2024.The Laryngoscope · 2026Article
- Private equity investment in orthopedic practices: Part of the changing landscape of health care.Bulletin of the Hospital for Joint Disease (2013) · 2025Review
- Global trends in fixation methods for primary total knee arthroplasty: An international registry-based analysis and review of outcomes.Journal of orthopaedics · 2025Article
- Immediate Procedure Reimbursement, 30-Day and 90-Day Episode Payments are Lower in Ambulatory Surgery Centers Versus Hospital Outpatient Departments for Lumbar Laminectomy.Clinical spine surgery · 2025Article
- Comparing patient outcomes following outpatient total joint arthroplasty in a hospital setting versus an ambulatory surgery center.Journal of orthopaedics · 2025Article
- Balancing efficiency and patient safety: lessons from the trend to outpatient lower joint arthroplasty.Anaesthesia · 2025Article
- Total knee arthroplasty reimbursement is declining overall and at a marginally faster rate amongst female orthopaedic surgeons: A Medicare analysis.Journal of orthopaedics · 2025Article
- Clinical and Economic Case for Patient-Specific Total Knee Arthroplasty: A Prospective Study.Cureus · 2025Article
- Ambulatory surgery center versus outpatient hospitals: a comparison of reimbursements for patients undergoing anterior cervical discectomy and fusion.The spine journal : official journal of the North American Spine Society · 2025Article
- Incidence rate of total knee arthroplasties in eleven European countries: Do they reach a plateau?PloS one · 2025Article
- Driving Forces for Outpatient Total Hip and Knee Arthroplasty with Enhanced Recovery After Surgery Protocols: A Narrative Review.Current pain and headache reports · 2024Review
- Establishing a Per-Hour Rate for Early-Career Adult Reconstruction Surgeons Performing Medicare Primary Total Joint Arthroplasty.Arthroplasty today · 2024Article
- Regional Differences in Primary Total Knee Arthroplasty Utilization, Physician Reimbursement, and Patient Characteristics.Arthroplasty today · 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
- Early Readmission and Revision After Total Joint Arthroplasty: An Analysis of Cause and Cost.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver 1 million total joint arthroplasties (TJAs) are performed every year in the United States, creating Medicare cost concerns for policy makers. The purpose of this study is to evaluate recent trends in Medicare utilization and reimbursements to hospitals/surgeons for TJAs between 2012 and 2017.
methodsWe tracked annual Medicare claims and payments to TJA surgeons using publicly available Medicare databases and aggregated data at the county level. Descriptive statistics and multivariate regression models were used to evaluate trends in procedure volume, utilization (per 10,000 Medicare beneficiaries), and reimbursement rates and to examine associations between county-specific variables and TJA utilization and reimbursements.
resultsBetween 2012 and 2017, there was an 18.9% increase in annual primary TJA volume (357,500 cases in 2012 to 425,028 cases in 2017) and a 2.0% increase in annual primary TJA per capita utilization (73.4 cases per 10,000 Medicare beneficiaries in 2012 to 74.8 in 2017). The Midwest and the South had higher utilization rates compared with the Northeast and West (
conclusionsDespite increasing TJA volume and utilization, surgeon reimbursements have continued to decline, whereas hospital payments and hospital charges have increased significantly more than surgeon charges. Cost containment efforts will need to address other expenditures such as hospital costs and implant costs to better align financial risks and incentives for TJA surgeons.
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