Medicare Physician Reimbursement

What Are the Economic Consequences of Unplanned Readmissions After TKA?

“…In time, with increasing readmission rates [21] and decreasing reimbursements for arthroplasty [20,25], TKA readmissions will have increasingly significant financial implications, even without an extension of CMS penalties to orthopaedics. Furthermore, other reimbursement changes are appearing on the horizon, including Accountable Care Organizations and ''bundled payments'', which will further encourage cost containment and focus attention on unplanned readmissions.…”

Disparity in revision total hip replacement: clinical outcome, cost, and surgeon work force

“…Hariri et al 16 reported that payments from Medicare and Medicaid constituted an average of 33% of an orthopaedic surgeon's practice revenue in 2006. This represented an increase from 26% in 1988.…”

Financial Implications of Nonoperative Fracture Care at an Academic Trauma Center

“…1 In addition, Medicare reimbursement for the most common orthopaedic procedures, when adjusted for inflation, has decreased by 28%. 2 Recent studies have also shown that orthopaedic trauma surgeons may not break even when based on opportunity costs until near the end of their careers as compared with more profitable specialties such as spine surgery. 3 The need to maintain financial viability as an orthopaedic trauma surgeon trying to work mainly in fracture care can be difficult.…”