Medicare Data Transparency May Confuse Consumers Comparing Hospitals for Total Joint Arthroplasty

被引：7

作者：

Belatti, Daniel A. ^{[1
]}

Pugely, Andrew J. ^{[1
]}

Amendola, Annunziato ^{[1
]}

Phisitkul, Phinit ^{[1
]}

Callaghan, John J. ^{[1
]}

机构：

[1] Univ Iowa, Dept Orthopaed Surg & Rehabil, Iowa City, IA USA

来源：

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

关键词：

medicare; total joint arthroplasty; outcomes; reimbursement; transparency; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; QUALITY-OF-LIFE; SURGEON VOLUME; UNITED-STATES; OUTCOMES; REPLACEMENT;

D O I：

10.1016/j.arth.2014.07.031

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 release of new hospital-specific Medicare data was heralded as a major development in transparency that would empower consumers. Using this data, we sought to investigate differences in payments and outcomes for total joint arthroplasty (TJA). We compared the fifty hospitals top-ranked by U.S. News & World Report for orthopedics to non-ranked hospitals. Available surgical outcome metrics were similar for all hospital groups. Top-ranked hospitals discharged a significantly higher volume of TJAs compared to other hospitals. Top-ranked hospitals submitted higher average charges to Medicare, and received higher payments in return. This premium was the direct result of Medicare's own reimbursement policies, and reveals little about consumer pricing. While comprehensive, Medicare's new databases provide little help to consumers wishing to compare hospitals for TJA. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：7 / 11

页数：5

共 23 条

[1] American Health Information Management Association, EV DRGS
[2] [Anonymous], U.S. News and World Report. Media Kit
[3] Appleby J., KAISER HLTH NEWS
[4] Bourne R, 1998, ADULT HIP, P839
[5] An analysis of Medicare payment policy for total joint arthroplasty
Bozic, Kevin J.
Rubash, Harry E.
Sculco, Thomas P.
Berry, Daniel J.
[J]. JOURNAL OF ARTHROPLASTY, 2008, 23 (06) : 133 - 138
[6] Centers for Medicaid & Medicare Services, HOSP OUTC CAR MEAS
[7] Centers for Medicaid & Medicare Services, APP C COMPL COM EXCL
[8] Centers for Medicaid & Medicare Services, MED PROV CHARG DAT I
[9] [Centers for Medicaid & Medicare Services U.S. Department of Health & Human Services], DSH ADJ 2010 2011 FI
[10] Centers for Medicaid & Medicare Services, DAT COMPL RAT HIP KN

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