• J Arthroplasty · Sep 2013

    Patient perception of Medicare reimbursement to orthopedic surgeons for THA and TKA.

    • Joel A Tucker, Carolyn C Scott, Colleen S Thomas, and Mary I O'Connor.
    • Bienville Orthopaedic Specialists, Biloxi, Mississippi.
    • J Arthroplasty. 2013 Sep 1;28(8 Suppl):144-7.

    AbstractA survey study was performed of individuals in an orthopedic clinic waiting room regarding their knowledge of Medicare reimbursement to orthopedic surgeons for primary THA and TKA. A total of 1200 surveys were submitted by individuals (median age 64 years, 61% female, 50% with Medicare as their primary insurance and 29% having had THA or TKA). The median amount respondents felt that a reasonable fee to the orthopedic surgeon for performing THA or TKA was $5000, while they estimated the Medicare reimbursement to be much less. When asked what was the most they would be willing to pay out-of-pocket to have the surgery performed or for advanced technology related to the procedure, the median was $2000. Most respondents were willing to wait 3-7 weeks for surgery to be performed. Participants tended to value THA and TKA more relative to Medicare payments and tended to overestimate Medicare reimbursement to surgeons for THA and TKA.© 2013 Elsevier Inc. All rights reserved.

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