Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, Pennsylvania.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
J Arthroplasty. 2022 Aug;37(8):1452-1454. doi: 10.1016/j.arth.2022.02.058. Epub 2022 Feb 19.
Recent regulatory changes made by the Center for Medicare and Medicaid Services (CMS) will result in a 9% decrease in reimbursement for hip and knee replacements by the end of 2022. Combining this with CMS's recent removal of total knee and total hip arthroplasty from the inpatient-only list has begun to take effect on the bottom line for hospital systems, which now employ around 50% of the arthroplasty community. Employed joint replacement surgeons should continue to innovate and be leaders within their hospital systems in the outpatient and ambulatory surgery space to recoup lost value, increase autonomy, and should be compensated for this work. Employed arthroplasty surgeon leaders can better align goals with and control the narrative in the C-suite to redefine their value as the most consistent, dependable, and transparent department within a larger health system or corporate medical group.
最近，医疗保险和医疗补助服务中心（CMS）的监管改革将导致髋膝关节置换术的报销费用在 2022 年底减少 9%。再加上 CMS 最近将全膝关节和全髋关节置换术从仅限住院患者的名单中删除，这已经开始对医院系统的底线产生影响，而现在这些系统雇佣了大约 50%的关节置换术社区的医生。受雇的关节置换外科医生应该继续在门诊和日间手术领域创新，并在他们所在的医院系统中发挥领导作用，以挽回失去的价值，增加自主权，并为此项工作获得补偿。受雇的关节置换术外科医生领导者可以更好地将目标与 C 级管理层的叙述相协调，并控制其叙述，重新定义他们作为更大的医疗系统或企业医疗集团内最一致、最可靠和最透明的部门的价值。
