PDF(Pubmed)
Abstract：
UNASSIGNED: While multiple studies have assessed the trends of Medicare reimbursement for orthopedic total joint arthroplasty (TJA) surgeries, none have forecasted reimbursement in relatable per-hour figures. The purposes of this study are to examine trends of reimbursement for primary and revision TJA and translate forecasted primary TJA reimbursement to relatable per-hour compensation.
UNASSIGNED: The Center for Medicare and Medicaid Services reimbursement data from 1992 to 2024 were used to create a historical view of reimbursement for primary and revision TJA. All monetary values were converted to 2023 USD to account for inflation. Polynomial and linear forecast equations were used to predict the future of the TJA reimbursement to 2030. Relative Value Scale Update Committee standard times for procedures were used with the forecasts to establish per-hour rates.
UNASSIGNED: Total reimbursement for primary total hip arthroplasty/total knee arthroplasty is forecasted to decrease 85.36%/86.14% by 2030. Using prior trends in reimbursement, TJA procedures are predicted to reimburse at or less than $100.00 2023 USD per Medicare case by 2030. Moreover, TJA surgeons are forecasted to earn $13.93/h per primary total hip arthroplasty and $14.97/h per primary total knee arthroplasty by 2030.
UNASSIGNED: This study highlights the concerning trends for both primary and revision arthroplasties as TJA surgeons are on a path to earn below minimum wage for primary TJAs by 2030. Mathematical models forecast a bleak future for orthopedic TJA reimbursement. This downward trajectory poses a risk to access and quality of care.
UNASSIGNED: The Center for Medicare and Medicaid Services reimbursement data from 1992 to 2024 were used to create a historical view of reimbursement for primary and revision TJA. All monetary values were converted to 2023 USD to account for inflation. Polynomial and linear forecast equations were used to predict the future of the TJA reimbursement to 2030. Relative Value Scale Update Committee standard times for procedures were used with the forecasts to establish per-hour rates.
UNASSIGNED: Total reimbursement for primary total hip arthroplasty/total knee arthroplasty is forecasted to decrease 85.36%/86.14% by 2030. Using prior trends in reimbursement, TJA procedures are predicted to reimburse at or less than $100.00 2023 USD per Medicare case by 2030. Moreover, TJA surgeons are forecasted to earn $13.93/h per primary total hip arthroplasty and $14.97/h per primary total knee arthroplasty by 2030.
UNASSIGNED: This study highlights the concerning trends for both primary and revision arthroplasties as TJA surgeons are on a path to earn below minimum wage for primary TJAs by 2030. Mathematical models forecast a bleak future for orthopedic TJA reimbursement. This downward trajectory poses a risk to access and quality of care.
摘要：
虽然多项研究评估了骨科全关节置换术（TJA）手术的医疗保险报销趋势，没有人预测报销的相关每小时数字。这项研究的目的是检查主要和修订TJA的报销趋势，并将预测的主要TJA报销转换为每小时可补偿。
■使用1992年至2024年的医疗保险和医疗补助服务中心报销数据来创建主要和修订TJA报销的历史视图。所有货币价值都转换为2023美元，以计算通货膨胀。多项式和线性预测方程用于预测到2030年TJA报销的未来。相对价值量表更新委员会的程序标准时间与预测一起使用，以确定每小时费率。
■预计到2030年，初次全髋关节置换术/全膝关节置换术的总报销将减少85.36%/86.14%。利用报销的先前趋势，预计到2030年，TJA程序将为每例Medicare案例偿还或少于$100,2023美元。此外，预计到2030年，TJA外科医生每次初次全髋关节置换术的收入为13.93美元/小时，每次初次全膝关节置换术的收入为14.97美元/小时。
这项研究强调了初级和修正关节置换术的相关趋势，因为TJA外科医生到2030年将收入低于初级TJA的最低工资。数学模型预测骨科TJA报销的前景黯淡。这种下降轨迹对获得和护理质量构成了风险。
■使用1992年至2024年的医疗保险和医疗补助服务中心报销数据来创建主要和修订TJA报销的历史视图。所有货币价值都转换为2023美元，以计算通货膨胀。多项式和线性预测方程用于预测到2030年TJA报销的未来。相对价值量表更新委员会的程序标准时间与预测一起使用，以确定每小时费率。
■预计到2030年，初次全髋关节置换术/全膝关节置换术的总报销将减少85.36%/86.14%。利用报销的先前趋势，预计到2030年，TJA程序将为每例Medicare案例偿还或少于$100,2023美元。此外，预计到2030年，TJA外科医生每次初次全髋关节置换术的收入为13.93美元/小时，每次初次全膝关节置换术的收入为14.97美元/小时。
这项研究强调了初级和修正关节置换术的相关趋势，因为TJA外科医生到2030年将收入低于初级TJA的最低工资。数学模型预测骨科TJA报销的前景黯淡。这种下降轨迹对获得和护理质量构成了风险。
