Plastic Surgery Practice Models and Research Aims under the Patient Protection and Affordable Care Act

Giladi, Aviram M.; Yuan, Frank; Chung, Kevin C.

doi:10.1097/prs.0000000000000857

Cited by 16 publications

(9 citation statements)

References 25 publications

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“…The ACA supports and promotes the concept of bundled payments and formation of ACOs, under which physicians move away from charging separately for each service (fee-for-service model) to instead receiving a ''lump sum'' or ''up-front'' payment for the overall care of patient. [18][19][20] To ensure that hand surgery procedures are adequately reimbursed within this model, highquality data must exist regarding the value and effectiveness of these procedures, something that hand surgeons can actively contribute to. 9,20 Particular emphasis will have to be placed on identifying treatments that not only address patient's health concerns, but also reduce hospital length of stay, save health carerelated costs, and improve long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

Attitude of hand surgeons toward Affordable Care Act: A survey of members of American Society for Surgery of the Hand

Shubinets

Gerety

Pannucci

et al. 2017

Journal of Orthopaedics

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The purpose of this study was to examine current attitude of hand surgeons toward the Affordable Care Act (ACA). An electronic survey was sent to members of American Society for Surgery of the Hand (ASSH) to examine their attitude toward the Affordable Care Act. 974 ASSH members responded to the survey (33% response rate). The majority of respondents were male (89%), trained in orthopedic surgery (81%), and in private practice (75%). 41% of respondents rated their knowledge of the ACA as average. Respondents disagreed that the ACA would improve healthcare in the United States (median 2, mean 2.06, scale 1-5), while agreeing that the ACA would decrease reimbursements specific to hand surgery (median 4, mean 4.11).

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Section: Discussionmentioning

confidence: 99%

Attitude of hand surgeons toward Affordable Care Act: A survey of members of American Society for Surgery of the Hand

Shubinets

Gerety

Pannucci

et al. 2017

Journal of Orthopaedics

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“…Supporting resident research time is a financial challenge, particularly during a time of declining physician reimbursement, 10 a changing healthcare landscape, 11 and diminishing NIH funding lines. 12,13 To put things into perspective, the mean stipend for a PGY-3/PGY-4 in 2014 was approximately $56,000, 14 and with benefits accounting for an additional 40% of salary, 15 the total annual cost to support a resident's salary during their ADT approaches $80,000.…”

Section: Financial Implicationsmentioning

confidence: 99%

Successfully Integrating Research into Plastic Surgery Training Programs

Ballard

Sando

Kasten

et al. 2015

Journal of Craniofacial Surgery

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Successful integration of research into the educational mission of a plastic surgery residency program requires the support and dedication of the faculty members to create a culture that promotes innovation, discovery, and advancement of the field of plastic surgery. Dedicated research time during plastic surgery training is beneficial to both the resident and training program. Regardless of whether residents plan to pursue an academic career or enter private practice, participating in research provides an opportunity to develop skills to think critically and mature professionally. In this article, we review the benefits of resident research to both the trainee and training program and discuss strategies to overcome barriers to integrating research into the curriculum.

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“…44 Although plastic surgeons do not have a favorable impression of the Affordable Care Act, the policy surrounding the Affordable Care Act has had a tremendous impact on the specialty. 45 One aspect of the Affordable Care Act that has become a key driver of the national shift to value-based care is accountable care organizations, which are groups of health care providers that are responsible for the value of care delivered to Medicare beneficiaries. 11,46 In particular, the Medicare Bundled Payments for Care Improvement is a voluntary model that aims to link all payments into one bundle for inpatient stays, outpatient procedures, and any services that are delivered 90 days after discharge.…”

Section: The Effect Of the Affordable Care Act On Reimbursement In Pl...mentioning

confidence: 99%

Insurance Reimbursement in Plastic Surgery

Kim

Chung

2021

Plastic &Amp; Reconstructive Surgery

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N ational health spending in the UnitedStates is projected to grow faster than the Gross Domestic Product over the next 10 years. 1 Although the United States ranks first in health care spending, there is minimal correlation with health outcomes, access, and quality. 2,3 The term "health care quality" is used routinely by health care professionals, patients, consumers, and agencies, with no clear meaning of the phrase. 4 Thus, with the lack of conceptualization within the industry, measuring quality has become a challenge for various health care professionals and policymakers. 4 Continuous efforts to promote quality has been a top priority for the U.S. health care system. 5 Furthermore, there is a collaborative drive for more "price transparency," which is the idea of making costs and payments more accessible to patients. 6,7 For patients, more price transparency will provide them with the knowledge on the price and quality of the health care services that they receive, which enables them to avoid unexpected costs and make informed decisions regarding their care. 8 In contrast, price transparency will help physicians guide patients in making affordable choices regarding their health, and inform them about their reimbursements. 8 The implementation of the Patient Protection and Affordable Care Act in 2010 transformed the health care industry from a fee-for-service system to one of value-based care with aims of making health care accessible and less costly. [9][10][11] With a fee-for-service system, physicians are paid for each service that they deliver. 10 However, this encourages physicians to conduct more tests and use more expensive treatments, whether they are medically essential or not. The transition to value-based care ensures that physicians are paid based on patient-centered outcomes of treatment, not the treatment itself. 10 Thus, physicians must work to collaborate with private and public payers to ensure that high-quality care is delivered to their patients. In particular, plastic surgery is a specialty that identifies patient-reported and aesthetic outcomes as quality indicators of surgery. 12 Furthermore, studies have shown that plastic

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Plastic Surgery Practice Models and Research Aims under the Patient Protection and Affordable Care Act

Cited by 16 publications

References 25 publications

Attitude of hand surgeons toward Affordable Care Act: A survey of members of American Society for Surgery of the Hand

Attitude of hand surgeons toward Affordable Care Act: A survey of members of American Society for Surgery of the Hand

Successfully Integrating Research into Plastic Surgery Training Programs

Insurance Reimbursement in Plastic Surgery

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