Reducing improper joint replacement can save billions of dollars.

According to a review published this week in JAMA, avoiding inappropriate knee and hip replacement can save about $12.7 billion.

With an average medical insurance rate of $13,000 to limit the cost of knee and hip replacements, about $4.4 billion is saved each year.
The authors say the lack of patients with education, changes in equipment prices, and the use of inpatient and outpatient Settings can also help to increase the cost of these programs unnecessarily.
In 2014, the United States conducted 723,000 knee replacements and 505,000 hip replacements, costing more than $20 billion. That is equivalent to 226 knees and 204 hip replacements per 100,000 people, more than the replacement rate of other high-income countries. As more and more young people opt for joint replacement, the incidence of these operations is also increasing, the article said.

At the same time, the author says the United States of 205 knee arthroplasty a study concluded that more than a third of the patients are considered to be inappropriate, may save the cost of $8.3 billion.

See what drives costs and programs can help reduce overall health care costs. In some parts of the country, for example, compensation for knee and hip replacements ranges from $17,000 to nearly $60,000 in other areas. The price of the implant is also $4,000. A study in 2017 found that in expensive hospitals, the cost of knee and hip replacements was 2.1 times and 1.7 times the cost of hospitals with lower costs.

To control costs, the authors recommend limiting payment differences and treating patients with treatment options and risks in the decision-making process. Increasing the price transparency around the prosthesis will allow hospitals to compare prices and reduce the purchase price.

Moving more programs to the clinic can also save a lot of money. The authors cite the mobile surgery center's estimate that a quarter to half of knee and hip replacement can be performed in the clinic. Transferring only a quarter of the health care facilities to outpatients could save Medicare about $714 million a year.

CMS's integrated care joint replacement (CJR) bundle payment plan is another way to reduce costs. The model will tie the cost of hospitalization and the care costs of patients with knee and hip surgery after 90 days of discharge, and reward hospitals that exceed the cost and quality benchmarks.

3/19/2018 09:30:00 AM Tags : Healthy

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