A Comprehensive Analysis of Medicare Trends in Utilization and Hospital Economics for Total Knee and Hip Arthroplasty From 2005 to 2011

被引：30

作者：

Nwachukwu, Benedict U. ^{[1
]}

McCormick, Frank ^{[2
]}

Provencher, Matthew T. ^{[3
]}

Roche, Martin ^{[1
]}

Rubash, Harry E. ^{[3
]}

机构：

[1] Hosp Special Surg, New York, NY 10021 USA

[2] Holy Cross Orthoped Inst, Ft Lauderdale, FL USA

[3] Massachusetts Gen Hosp, Boston, MA 02114 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 01期

关键词：

economics; utilization; total hip arthroplasty; total knee arthroplasty; medicare; United States; UNITED-STATES; DEMAND;

D O I：

10.1016/j.arth.2014.08.025

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to determine annual Medicare utilization and hospital reimbursement rates for total knee arthroplasty (TKA) and total hip arthroplasty (THA). A PearlDiver review of the entire Medicare database was conducted: 2,040,667 TKAs and 855, 899 THAs performed between 2005 and 2011 were identified. There was a +0.05% and +1.3% year over year growth in the utilization in hospital reimbursement for TKA and THA respectively. There has only been a modest increase in joint arthroplasty utilization for Medicare beneficiaries. Supply side issues, insurance mix and possible prior over-projection may explain this finding. Reimbursement trends suggest that joint arthroplasty may not be a major cost driver for the healthcare system. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：15 / 18

页数：4

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