Nwachukwu Benedict U, McCormick Frank, Provencher Matthew T, Roche Martin, Rubash Harry E
Hospital for Special Surgery, New York, New York.
Holy Cross Orthopedic Institute, Fort Lauderdale Florida.
J Arthroplasty. 2015 Jan;30(1):15-8. doi: 10.1016/j.arth.2014.08.025. Epub 2014 Sep 6.
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.
本研究的目的是确定全膝关节置换术（TKA）和全髋关节置换术（THA）的年度医疗保险利用率及医院报销率。利用PearlDiver对整个医疗保险数据库进行了回顾：确定了2005年至2011年间进行的2,040,667例TKA和855,899例THA。TKA和THA的医院报销利用率分别同比增长了0.05%和1.3%。医疗保险受益人的关节置换术利用率仅有适度增长。供应方问题、保险组合以及可能先前的过度预测或许可以解释这一发现。报销趋势表明关节置换术可能并非医疗保健系统的主要成本驱动因素。
Zotero 插件