Financial impact of removal of total knee arthroplasty from the inpatient-only list for a physician-owned BPCI program.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 32051673.
- Also identified by DOI 10.1016/j.jor.2020.01.045 and PMC identifier 7005332.
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Abstract
Assessing financial effects of removal of TKA from CMS inpatient-only list on physician-owned bundles. We determined whether Medicare TKAs remained inpatient, versus changed to observational. We used CMS data to determine savings. Direct costs associated with BPCI were calculated. 7/28 TKAs (25.0%) had inpatient status changed to observational, excluding them from BPCI. Estimated savings losses were $24,332. Direct costs for administrating BPCI were $51,250. Had the rate of patients changed to observational been 50%, bundle savings from remaining patients would be less than direct costs. Removing TKA from CMS inpatient-only list may have negative financial implications.
Anatomy
- knee