Financial impact of removal of total knee arthroplasty from the inpatient-only list for a physician-owned BPCI program.

Rizkalla, James M; Bhimani, Aamir A; Kitziger, Kurt J; Peters, Paul C; Schubert, Richard D; Gladnick, Brian P

Rizkalla, James M; Bhimani, Aamir A; Kitziger, Kurt J; Peters, Paul C; Schubert, Richard D; Gladnick, Brian P.

Afiliação

Rizkalla JM; Baylor Univeristy Medical Center, Department of Orthopaedic Surgery, 3500 Gaston Ave, Dallas, TX, 75246, USA.
Bhimani AA; Baylor Univeristy Medical Center, Department of Orthopaedic Surgery, 3500 Gaston Ave, Dallas, TX, 75246, USA.
Kitziger KJ; W.B. Carrell Memorial Clinic, Adult Hip and Knee Reconstruction, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
Peters PC; Texas Health Presbyterian Hospital Dallas, Department of Orthopaedic Surgery, 8200 Walnut Hill Lane, Dallas, TX, 75231, USA.
Schubert RD; W.B. Carrell Memorial Clinic, Adult Hip and Knee Reconstruction, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
Gladnick BP; Texas Health Presbyterian Hospital Dallas, Department of Orthopaedic Surgery, 8200 Walnut Hill Lane, Dallas, TX, 75231, USA.

J Orthop ; 20: 221-223, 2020.

Article em En | MEDLINE | ID: mdl-32051673

ABSTRACT

ABSTRACT

OBJECTIVE:

Assessing financial effects of removal of TKA from CMS inpatient-only list on physician-owned bundles.

METHODS:

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.

RESULTS:

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.