NYU Hospital for Joint Diseases.
J Arthroplasty. 2014 Aug;29(8):1545-7. doi: 10.1016/j.arth.2014.03.035. Epub 2014 Apr 5.
In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90 days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. We identified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients.
为了控制医疗保健费用的不可持续增长，联邦政府正在尝试对全关节置换术（TJA）采用捆绑式支付模式。在这种风险共担模式下，提供者获得一笔支付款项，该款项涵盖了 TJA 的费用以及与该手术相关的任何额外医疗费用，最长可达 90 天。合并症的严重程度强烈影响 TJA 患者的再入院率和再入院费用。我们从我们的数据库中确定了 2026 名 TJA 患者，这些患者的 APR-DRG SOI 数据可用于本研究。再入院的费用和再入院率都随着疾病严重程度的增加而增加。随着 SOI 的增加，再入院负担也增加，但在极端 SOI 患者中增加最为明显。
