PMID- 28337732
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1935-973X (Print)
IS  - 1935-9748 (Electronic)
IS  - 1935-9748 (Linking)
VI  - 10
IP  - 2
DP  - 2017 Jun
TI  - Medicare reimbursement and orthopedic surgery: past, present, and future.
PG  - 224-232
LID - 10.1007/s12178-017-9406-7 [doi]
AB  - PURPOSE OF REVIEW: This paper reviews the history and structure of Medicare 
      reimbursement with a focus on aspects relevant to the field of orthopedic 
      surgery. Namely, this includes Parts A and B, with particular attention paid to 
      the origins of Diagnosis Related Groups (DRG) and the physician fee schedule, 
      respectively. We then review newer policies affecting orthopedic surgeons. RECENT 
      FINDINGS: Recent Medicare reforms relevant to our field include readmission 
      penalties, the evolution of bundled payments including the mandatory 
      Comprehensive Care for Joint Replacement (CJR) and Surgical Hip and Femur 
      Fracture Treatment (SHFFT) programs, and the new mandatory Merit-based Incentive 
      Payment System (MIPS) pay-for-performance program. Providers are facing an 
      increasingly complex payment system and are required to assume growing levels of 
      financial risk. Physicians and practices who prepare for these changes will 
      likely fare best and may even benefit.
FAU - Carter Clement, R
AU  - Carter Clement R
AD  - Rothman Institute at Thomas Jefferson University, 925 Chestnut St. Fifth Floor, 
      Philadelphia, PA, 19107, USA.
FAU - Bhat, Suneel B
AU  - Bhat SB
AD  - Rothman Institute at Thomas Jefferson University, 925 Chestnut St. Fifth Floor, 
      Philadelphia, PA, 19107, USA.
FAU - Clement, Meredith E
AU  - Clement ME
AD  - Rothman Institute at Thomas Jefferson University, 925 Chestnut St. Fifth Floor, 
      Philadelphia, PA, 19107, USA.
FAU - Krieg, James C
AU  - Krieg JC
AD  - Rothman Institute at Thomas Jefferson University, 925 Chestnut St. Fifth Floor, 
      Philadelphia, PA, 19107, USA. James.Krieg@rothmaninstitute.com.
LA  - eng
GR  - T32 AI007392/AI/NIAID NIH HHS/United States
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Rev Musculoskelet Med
JT  - Current reviews in musculoskeletal medicine
JID - 101317803
PMC - PMC5435637
OTO - NOTNLM
OT  - Bundled payments
OT  - Healthcare reform
OT  - Medicare
OT  - Merit-based incentive payment system (MIPS)
OT  - Orthopedic surgery
OT  - Reimbursement
COIS- CONFLICT OF INTEREST: The authors declare that they have no conflict of interest. 
      HUMAN AND ANIMAL RIGHTS AND INFORMED CONSENT: This article does not contain any 
      studies with human or animal subjects performed by any of the authors.
EDAT- 2017/03/25 06:00
MHDA- 2017/03/25 06:01
PMCR- 2017/03/23
CRDT- 2017/03/25 06:00
PHST- 2017/03/25 06:00 [pubmed]
PHST- 2017/03/25 06:01 [medline]
PHST- 2017/03/25 06:00 [entrez]
PHST- 2017/03/23 00:00 [pmc-release]
AID - 10.1007/s12178-017-9406-7 [pii]
AID - 9406 [pii]
AID - 10.1007/s12178-017-9406-7 [doi]
PST - ppublish
SO  - Curr Rev Musculoskelet Med. 2017 Jun;10(2):224-232. doi: 
      10.1007/s12178-017-9406-7.