Should All Patients be Included in Alternative Payment Models for Primary Total Hip Arthroplasty and Total Knee Arthroplasty?

• Published in: The Journal of arthroplasty Vol. 31; no. 9; pp. 45 - 49
• Main Authors: Rozell, Joshua C., MD, Courtney, P. Maxwell, MD, Dattilo, Jonathan R., MD, Wu, Chia H., MD, MBA, Lee, Gwo Chin, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2016
• Subjects: Adult; Aged; Aged, 80 and over; alternative payment model; Arthroplasty, Replacement, Hip - adverse effects; Arthroplasty, Replacement, Knee - adverse effects; bundled payment; Comorbidity; Female; Health Expenditures; Health Services Accessibility; Humans; Length of Stay; Male; Middle Aged; Orthopedics; Patient Readmission; Patient Selection; Prospective Studies; readmission; Reimbursement Mechanisms; Risk Factors; total joint arthroplasty; Young Adult; total joint arthroplasty; comorbidity; alternative payment model; readmission; bundled payment

Abstract Background Alternative payment models (APM) in total joint replacement incentivize cost effective healthcare delivery and reward reductions in length of stay (LOS), complications and readmissions. If not adjusted for patient comorbidities, they may encourage restrictive access to healthcare...