Total joint arthroplasty: trends in medicare reimbursement and implant prices.

Journal Article (Journal Article)

Total joint arthroplasty (TJA) continues to be a popular target of cost control efforts. In order to provide a unique overview of financial trends facing TJA, we analyzed Medicare databases including 100% of beneficiaries, as well as industry surveys of implant list prices. Although there was a substantial increase in TJA utilization over the period 2000-2011 (+26.9%), growth has been stagnant since 2005. New coding schemes have made complicated cases more lucrative for hospitals (+2.5% to 6.5% per year), while reimbursements for uncomplicated cases have fallen (-0.7% to -0.6%). Physician reimbursements have declined on all case types (-2.5% to -2.1% per year), while list prices of orthopedic implants have risen (+4.8% to 5.5%). These trends should be kept in mind while contemplating future changes to TJA payment.

Full Text

Duke Authors

Cited Authors

  • Belatti, DA; Pugely, AJ; Phisitkul, P; Amendola, A; Callaghan, JJ

Published Date

  • August 2014

Published In

Volume / Issue

  • 29 / 8

Start / End Page

  • 1539 - 1544

PubMed ID

  • 24736291

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2014.03.015


  • eng

Conference Location

  • United States