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

Authors :: Rizkalla JM
Bhimani AA
Kitziger KJ
Peters PC Jr
Schubert RD
Gladnick BP
Source :: Journal of orthopaedics [J Orthop] 2020 Jan 30; Vol. 20, pp. 221-223. Date of Electronic Publication: 2020 Jan 30 (Print Publication: 2020).
Publication Year :: 2020
Abstract: Objective: Assessing financial effects of removal of TKA from CMS inpatient-only list on physician-owned bundles.<br />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.<br />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.<br />Conclusion: Removing TKA from CMS inpatient-only list may have negative financial implications.<br /> (© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)

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