Photo from wikipedia
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… Click to show full 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. Conclusion Removing TKA from CMS inpatient-only list may have negative financial implications.
Journal Title: Journal of orthopaedics
Year Published: 2020
Link to full text (if available)
Share on Social Media: Sign Up to like & get
recommendations!