• J Arthroplasty · Jun 2015

    Economic Impact of Orthopedic Adult Reconstruction Office Practice: The Implications of Hospital Employment Models on Local Economies.

    • Richard Iorio, Thomas Fehring, Sally York, Mark Froimson, David Halsey, Susan Odum, Charles M Davis, Richard Santore, and Louis F McIntyre.
    • New York University Langone Medical Center Hospital for Joint Diseases.
    • J Arthroplasty. 2015 Jun 1; 30 (6): 923-30.

    AbstractThe purpose of this study was to evaluate the economic attributes of private practice adult reconstruction (AR) offices. 458 AAHKS surgeons responded; 65% were in private practice (fee-for-service, non-salaried, non-employed AR surgeons). 54% had considered hospital employment in the past two years. The average group employs 13.4 orthopedic surgeons (3.4 AR), and 105 other employees. The average total budget is $12.5 million per year with $4 million in salaries, and $238,000 in tax revenue generated. Co-management joint ventures are a better model than hospital employment for aligning AR surgeons and hospitals and realizing the cost effectiveness and quality improvement goals of PPACA and AARA while preserving the economic impact of AR private practice. Copyright © 2015 Elsevier Inc. All rights reserved.

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