Skip to Content

Medicare Payment Patterns Examined for Hip Fracture Surgery

TUESDAY, April 13, 2021 -- Reimbursement for hospital charges is increasing faster than payments for surgeons performing hip fracture surgeries on Medicare beneficiaries, according to a study published online March 9 in the Journal of Orthopaedic Trauma.

Dennis Q. Chen, M.D., from the University of Virginia Health System in Charlottesville, and colleagues evaluated trends and variations in hospital charges and payments relative to surgeon charges and payments for surgical treatment of hip fractures in the U.S. Medicare population (2005 to 2014). Data were pulled from the 5 Percent Medicare Standard Analytic Files.

The researchers identified 3,028 patients who underwent closed reduction and percutaneous pinning (CRPP) and 25,341 patients who underwent open reduction internal fixation (ORIF) or intramedullary nail (IMN). During the study period, the ratio of hospital to surgeon charges (charge multiplier [CM]) for CRPP increased from 10.1 to 15.6, while the CM for ORIF/IMN increased from 11.9 to 17.2. The ratio of hospital to surgeon payments (payment multiplier) for CRPP increased from 15.1 to 19.2; the ratio increased from 11.5 to 17.4 for ORIF/IMN.

"This current study demonstrates that surgeon reimbursement relative to hospital reimbursement is continually decreasing while the total charges in treating a patient with a hip fracture paradoxically [increase]," the authors write. "Identifying and rectifying the sources of increased hospital charges -- rather than continually minimizing surgeon reimbursement -- will be tantamount to minimizing the financial burden of hip fractures on the health care system while continuing to deliver effective and efficient patient care in the coming years."

One author disclosed financial ties to the health technology industry and one disclosed ties to the medical device industry.

Abstract/Full Text (subscription or payment may be required)

© 2021 HealthDay. All rights reserved.

Read this next

2.4 Million ED Visits in ≥65s Due to Unintentional Falls

FRIDAY, May 7, 2021 -- Unintentional falls accounted for more than 90 percent of selected emergency department visits and hospitalizations for nonfatal injuries among adults aged...

Peloton Recalls Treadmills Following Child's Death, Numerous Injuries

WEDNESDAY, May 5, 2021 -- Peloton said Wednesday it is recalling its Tread and Tread+ exercise machines, just weeks after the U.S. Consumer Product Safety Commission (CPSC) warned...

Gender Gap in Orthopedics Remains Largely Unchanged

WEDNESDAY, May 5, 2021 -- At the current rate of change, it will take more than 200 years for orthopedic surgery to achieve gender parity with the overall medical profession,...

More News Resources

Subscribe to our Newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of in your inbox.