Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

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

Publication ,  Journal Article
Belatti, DA; Pugely, AJ; Phisitkul, P; Amendola, A; Callaghan, JJ
Published in: J Arthroplasty
August 2014

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

August 2014

Volume

29

Issue

8

Start / End Page

1539 / 1544

Location

United States

Related Subject Headings

  • United States
  • Reoperation
  • Reimbursement Mechanisms
  • Orthopedics
  • Orthopedics
  • Medicare Part B
  • Medicare Part A
  • Knee Prosthesis
  • Humans
  • Hip Prosthesis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Belatti, D. A., Pugely, A. J., Phisitkul, P., Amendola, A., & Callaghan, J. J. (2014). Total joint arthroplasty: trends in medicare reimbursement and implant prices. J Arthroplasty, 29(8), 1539–1544. https://doi.org/10.1016/j.arth.2014.03.015
Belatti, Daniel A., Andrew J. Pugely, Phinit Phisitkul, Annunziato Amendola, and John J. Callaghan. “Total joint arthroplasty: trends in medicare reimbursement and implant prices.J Arthroplasty 29, no. 8 (August 2014): 1539–44. https://doi.org/10.1016/j.arth.2014.03.015.
Belatti DA, Pugely AJ, Phisitkul P, Amendola A, Callaghan JJ. Total joint arthroplasty: trends in medicare reimbursement and implant prices. J Arthroplasty. 2014 Aug;29(8):1539–44.
Belatti, Daniel A., et al. “Total joint arthroplasty: trends in medicare reimbursement and implant prices.J Arthroplasty, vol. 29, no. 8, Aug. 2014, pp. 1539–44. Pubmed, doi:10.1016/j.arth.2014.03.015.
Belatti DA, Pugely AJ, Phisitkul P, Amendola A, Callaghan JJ. Total joint arthroplasty: trends in medicare reimbursement and implant prices. J Arthroplasty. 2014 Aug;29(8):1539–1544.
Journal cover image

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

August 2014

Volume

29

Issue

8

Start / End Page

1539 / 1544

Location

United States

Related Subject Headings

  • United States
  • Reoperation
  • Reimbursement Mechanisms
  • Orthopedics
  • Orthopedics
  • Medicare Part B
  • Medicare Part A
  • Knee Prosthesis
  • Humans
  • Hip Prosthesis