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
收藏
页码：15 / 18
页数：4
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