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Medicare's Post-Acute Care Reimbursement Models as of 2023: Past, Present, and Future.

Authors :
Siddiqi, Ahmed
Pasqualini, Ignacio
Tidd, Joshua
Rullán, Pedro J.
Klika, Alison K.
Murray, Trevor G.
Johnson, Joshua K.
Piuzzi, Nicolas S.
Source :
Journal of Bone & Joint Surgery, American Volume. 8/21/2024, Vol. 106 Issue 16, p1521-1528. 8p.
Publication Year :
2024

Abstract

The Centers for Medicare & Medicaid Services is continually working to mitigate unnecessary expenditures, particularly in post-acute care (PAC). Medicare reimburses for orthopaedic surgeon services in varied models, including feefor-service, bundled payments, and merit-based incentive payment systems. The goal of these models is to improve the quality of care, reduce health-care costs, and encourage providers to adopt innovative and efficient health-care practices. This article delves into the implications of each payment model for the field of orthopaedic surgery, highlighting their unique features, incentives, and potential impact in the PAC setting. By considering the historical, current, and future Medicare reimbursement models, we hope to provide an understanding of the optimal payment model based on the specific needs of patients and providers in the PAC setting. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00219355
Volume :
106
Issue :
16
Database :
Academic Search Index
Journal :
Journal of Bone & Joint Surgery, American Volume
Publication Type :
Academic Journal
Accession number :
179404960
Full Text :
https://doi.org/10.2106/JBJS.23.00422