A comprehensive analysis of Medicare trends in utilization and hospital economics for total knee and hip arthroplasty from 2005 to 2011. Academic Article uri icon

Overview

abstract

  • The purpose of this study was to determine annual Medicare utilization and hospital reimbursement rates for total knee arthroplasty (TKA) and total hip arthroplasty (THA). A PearlDiver review of the entire Medicare database was conducted: 2,040,667 TKAs and 855, 899 THAs performed between 2005 and 2011 were identified. There was a +0.05% and +1.3% year over year growth in the utilization in hospital reimbursement for TKA and THA respectively. There has only been a modest increase in joint arthroplasty utilization for Medicare beneficiaries. Supply side issues, insurance mix and possible prior over-projection may explain this finding. Reimbursement trends suggest that joint arthroplasty may not be a major cost driver for the healthcare system.

publication date

  • September 6, 2014

Research

keywords

  • Arthroplasty, Replacement, Hip
  • Arthroplasty, Replacement, Knee
  • Hospitals
  • Insurance, Health, Reimbursement
  • Medicare

Identity

Scopus Document Identifier

  • 84916604779

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2014.08.025

PubMed ID

  • 25267535

Additional Document Info

volume

  • 30

issue

  • 1