The Changing Economic Value and Leverage of Arthroplasty Surgeons

Moving THA off of the Inpatient Only (IPO) List for Center of Medicaid and Medicare Services (CMS) beneficiaries and the COVID-19 pandemic has caused a shift in delivery away from inpatient services and a decrease in demand. Medicare payments dramatically declined from 2019 to 2020. LOS decreases an...

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Autor principal: Iorio, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
2021 AAHKS Annual Meeting Symposium
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419662/
https://www.ncbi.nlm.nih.gov/pubmed/35292340
http://dx.doi.org/10.1016/j.arth.2022.03.035
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description Moving THA off of the Inpatient Only (IPO) List for Center of Medicaid and Medicare Services (CMS) beneficiaries and the COVID-19 pandemic has caused a shift in delivery away from inpatient services and a decrease in demand. Medicare payments dramatically declined from 2019 to 2020. LOS decreases and shift to outpatient designations were accelerated by IPO list changes and COVID-19 issues. The percentage of SDD cases also increased. Other metrics favorable to decreased spending by CMS were increased discharge to home and decreased volume. These changes have a profound impact on surgeon-hospital relationships and surgeon compensation.
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spelling pubmed-94196622022-08-30 The Changing Economic Value and Leverage of Arthroplasty Surgeons Iorio, Richard J Arthroplasty 2021 AAHKS Annual Meeting Symposium Moving THA off of the Inpatient Only (IPO) List for Center of Medicaid and Medicare Services (CMS) beneficiaries and the COVID-19 pandemic has caused a shift in delivery away from inpatient services and a decrease in demand. Medicare payments dramatically declined from 2019 to 2020. LOS decreases and shift to outpatient designations were accelerated by IPO list changes and COVID-19 issues. The percentage of SDD cases also increased. Other metrics favorable to decreased spending by CMS were increased discharge to home and decreased volume. These changes have a profound impact on surgeon-hospital relationships and surgeon compensation. Elsevier Inc. 2022-08 2022-03-12 /pmc/articles/PMC9419662/ /pubmed/35292340 http://dx.doi.org/10.1016/j.arth.2022.03.035 Text en © 2022 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle 2021 AAHKS Annual Meeting Symposium
Iorio, Richard
The Changing Economic Value and Leverage of Arthroplasty Surgeons
title The Changing Economic Value and Leverage of Arthroplasty Surgeons
title_full The Changing Economic Value and Leverage of Arthroplasty Surgeons
title_fullStr The Changing Economic Value and Leverage of Arthroplasty Surgeons
title_full_unstemmed The Changing Economic Value and Leverage of Arthroplasty Surgeons
title_short The Changing Economic Value and Leverage of Arthroplasty Surgeons
title_sort changing economic value and leverage of arthroplasty surgeons
topic 2021 AAHKS Annual Meeting Symposium
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419662/
https://www.ncbi.nlm.nih.gov/pubmed/35292340
http://dx.doi.org/10.1016/j.arth.2022.03.035
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