Can a Hip and Knee Adult Reconstruction Orthopaedic Surgeon Sustain a Practice Comprised Entirely of Medicare Patients?

被引：14

作者：

Zuckerman, Joseph D. ^{[1
]}

Koli, Emmanuel N. ^{[1
]}

Inneh, Ifeoma ^{[1
]}

Iorio, Richard ^{[1
]}

机构：

[1] Hosp Joint Dis & Med Ctr, NYU Langone Med Ctr, Dept Orthopaed Surg, Div Adult Reconstruct Surg, New York, NY 10003 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 09期

关键词：

reimbursements; adult reconstruction; Medicare compensation; total joint arthroplasty; orthopaedic practice; REPLACEMENT; EPIDEMIC;

D O I：

10.1016/j.arth.2014.02.041

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：

100224 [整形外科学];

摘要：

Reimbursement continues to decrease for orthopaedic surgeons specializing in total joint arthroplasty (TJA). Practice information from the Medical Group Management Association (MGMA) Cost Survey and Private practice Compensation Survey and CMS locality reimbursement data was used to develop a practice model for a TJA specialist performing 300 TJA per year (66% knees, 33% hips, 15% revision surgery), evaluating 3000 outpatient visits per year based on, current Medicare reimbursement rates. Our model shows that the anticipated physician compensation is well below the mean compensation reported for a TJA specialist irrespective of geographic location. When MGMA practice expense data are applied to the Medicare-only model, the salary level is unsustainable. Further decreases in Medicare Part B reimbursement will only worsen the disparity. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：132 / 134

页数：3

共 8 条

[1]

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