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Pay-for-performance in orthopedics: how we got here and where we are going

  • Orthopaedic Health Policy (A Miller, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of the review

Recent health laws have shifted from the traditional fee-for-service model toward a pay-for-performance model. In this changing climate, it is imperative that a provider understands these changes and recognizes the importance of health services research on medicine.

Recent findings

Increasing the value of care by improving quality and decreasing cost has been the focus of several projects. Preventing complications may be an effective way to increase value.

Summary

Patient risk stratification is a modifiable variable that will allow for improved patient selection. This in turn may reduce adverse events, thereby lessening the economic burden of complications, increased length of stay, and hospital readmission. Providers must partner with their hospitals to align their goals and maximize quality and efficiency in order to decrease costs.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Orthopaedic Surgery Department, Virginia Commonwealth University, 1200 E Broad Street; 9th floor, P.O Box 980153, Richmond, VA, 23298, USA

    Ashton H. Goldman & Stephen Kates

Authors
  1. Ashton H. Goldman
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  2. Stephen Kates
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Correspondence to Stephen Kates.

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Conflict of interest

Ashton H. Goldman declares that he has no conflict of interest.

Stephen Kates reports grants and non-financial support from DePuy Synthes, out of the submitted work. He is also a journal editor for Sage Publications.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Orthopaedic Health Policy

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Goldman, A.H., Kates, S. Pay-for-performance in orthopedics: how we got here and where we are going. Curr Rev Musculoskelet Med 10, 212–217 (2017). https://doi.org/10.1007/s12178-017-9404-9

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  • DOI: https://doi.org/10.1007/s12178-017-9404-9

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