Health Care Reform: Impact on Total Joint Replacement

Monique C Chambers; Mouhanad M El-Othmani; Khaled J Saleh

doi:10.1016/j.ocl.2016.05.005

Health Care Reform: Impact on Total Joint Replacement

Orthop Clin North Am. 2016 Oct;47(4):645-52. doi: 10.1016/j.ocl.2016.05.005. Epub 2016 Aug 6.

Authors

Monique C Chambers¹, Mouhanad M El-Othmani¹, Khaled J Saleh²

Affiliations

¹ Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
² Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.

PMID: 27637650
DOI: 10.1016/j.ocl.2016.05.005

Abstract

The US health care system has been fragmented for more than 40 years; this model created a need for modification. Sociopoliticomedical system-related factors led to the Affordable Care Act (ACA) and a restructuring of health care provision/delivery. The ACA increases access to high-quality "affordable care" under cost-effective measures. This article provides a comprehensive review of health reform and the motivating factors that drive policy to empower arthroplasty providers to effectively advocate for the field of orthopedics as a whole, and the patients served.

Keywords: ACA; CMS; Health care reform; MACRA; MIPS; Quality care; TJA.

Publication types

Review

MeSH terms

Arthroplasty, Replacement / economics*
Health Care Reform / organization & administration*
Humans
Patient Protection and Affordable Care Act / economics*
United States