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

被引：29

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

共 19 条

[1] The Sources of the SGR "Hole"
Alhassani, Ali
Chandra, Amitabh
Chernew, Michael E.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (04) : 289 - 291
[2] Bang Heejung, 2010, Am J Orthop (Belle Mead NJ), V39, pE95
[3] Trends in Orthopedics: An Analysis of Medicare Claims, 2000-2010
Belatti, Daniel A.
Phisitkul, Phinit
[J]. ORTHOPEDICS, 2013, 36 (03) : E366 - E372
[4] Paying Surgeons Less Has Cost More
Bernstein, Joseph
Derman, Peter
[J]. ORTHOPEDICS, 2012, 35 (12) : E1804 - E1806
[5] Slowing Demand for Total Joint Arthroplasty in a Population of 3.2 Million
Bini, Stefano A.
Sidney, Stephen
Sorel, Michael
[J]. JOURNAL OF ARTHROPLASTY, 2011, 26 (06) : 124 - 128
[6] Carroll J, 2011, MANAG CARE, V20, P14
[7] Total Knee Arthroplasty Volume, Utilization, and Outcomes Among Medicare Beneficiaries, 1991-2010
Cram, Peter
Lu, Xin
Kates, Stephen L.
Singh, Jasvinder A.
Li, Yue
Wolf, Brian R.
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 308 (12): : 1227 - 1236
[8] Joint Replacement Access in 2016 A Supply Side Crisis
Fehring, Thomas K.
Odum, Susan M.
Troyer, Jennifer L.
Iorio, Richard
Kurtz, Steven M.
Lau, Edmund C.
[J]. JOURNAL OF ARTHROPLASTY, 2010, 25 (08) : 1175 - 1181
[9] The Association Between Health Care Quality and Cost A Systematic Review
Hussey, Peter S.
Wertheimer, Samuel
Mehrotra, Ateev
[J]. ANNALS OF INTERNAL MEDICINE, 2013, 158 (01) : 27 - U86
[10] Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002
Kurtz, S
Mowat, F
Ong, K
Chan, N
Lau, E
Halpern, M
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) : 1487 - 1497

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