The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)

Daniel N. Kiridly; Alexa J. Karkenny; Lorraine H. Hutzler; James D. Slover; Richard Iorio; Joseph A. Bosco

doi:10.1016/j.arth.2014.03.035

The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)

Daniel N. Kiridly, Alexa J. Karkenny, Lorraine H. Hutzler, James D. Slover, Richard Iorio, Joseph A. Bosco

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90. days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. We identified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients.

Original language	English (US)
Pages (from-to)	1545-1547
Number of pages	3
Journal	Journal of Arthroplasty
Volume	29
Issue number	8
DOIs	https://doi.org/10.1016/j.arth.2014.03.035
State	Published - Aug 2014
Externally published	Yes

Keywords

30day readmissions
Cost burden
Severity of disease
Total joint arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2014.03.035

Cite this

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title = "The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)",

abstract = "In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90. days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. We identified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients.",

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AU - Hutzler, Lorraine H.

AU - Slover, James D.

AU - Iorio, Richard

AU - Bosco, Joseph A.

PY - 2014/8

Y1 - 2014/8

N2 - In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90. days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. We identified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients.

AB - In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90. days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. We identified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients.

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KW - Severity of disease

KW - Total joint arthroplasty

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The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)

Abstract

Keywords

ASJC Scopus subject areas

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