Arthroplasty Case Study

Improved Essays
This study examined Unicompartmental Knee Arthroplasty (UKA) surgery in an outpatient ambulatory medical service versus an inpatient medical service. Performing UKA surgery in an ambulatory medical service has been compared to inpatient effectiveness and cost benefits has yet to be discussed between outpatient and inpatient performing surgery. Cost saving can be achieved by performing UKA in an outpatient ambulatory medical service. The prices the medical billing bills the insurance,between inpatient and outpatient procedures are different. How so, the price different is $26,345.00. Another difference were the reimbursements which was between 13%. This examined demonstrated 50% cost of savings is saved by achieving UKA surgery in an outpatient ambulatory medical service. …show more content…
The primary role of finance is to plan and obtain resources to increase the productivity and value of patient care. Inpatient care generally refers to any medical services that requires an overnight stay in the hospital. On the hand, outpatient medical service, does not require a prolong stay in a hospital or facility. For decades, outpatient Unicompartmental Knee Arthroplasty (UKA) is considered to be performed in an inpatient medical setting knows as the hospital. UKA can be performed with a smaller incision, fewer complications, and early discharge which this has lead to a higher patient satisfaction (Clin Orthop Relat Res. 2009). However, what about the internal factor, such as the charges for performing UKA procedures in an ambulatory care and how much are patients

Related Documents

  • Great Essays

    Gross charges for surgical cases will run $25,000 and physical therapy will run at $275 per treatment. And there is a final expectation of a 31% cost to charges ratio. (Western Governors University, n.d.). Revenue will be supported by the anticipated increase in each area of payment; self-pay, insured, Medicaid and Medicare patients. The loss of patient numbers in the OB program at TCH could be offset by implementation and continued growth of an orthopedic service line.…

    • 1461 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The orthopedics department is struggling to determine how best to address the issue of quality of care, a major influencer in Medicare reimbursements. Bob Pritts, the department administrator, argued that Patients who are smokers, diabetic, and have a BMI of 40 - 45 greatly impact the quality of care for their orthopedic surgery patients, which could increase LOS and decrease reimbursements. On one hand, if the department follows most institutions and limits services to patients with these factors, their reimbursements will be better. On the other hand, accepting patients with these factors will decrease their Medicare reimbursements; however, accepting these type of patients is an opportunity to build a brand helping these high risk patients,…

    • 650 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In all of the presented cases UCLA was performing higher rates of procedure despite the outcomes not rising. I believe this is a result of the patient population demands and mindset of the healthcare team at UCLA. The current healthcare system is set up in a fashion that does not emphasize prevention, preparation and education, it is a more reactive system although it is transitioning. Intermountain was experiencing different outcomes because they were…

    • 857 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Lewis V et al (2012) said that we hypothesize that regions with higher levels of disadvantage will be less likely to have ACAs form, either because the providers serving these regions may be less confident in their ability to achieve cost and quality benchmarks for their patient population. Is the rapid growth of health care demand affect the ability of ACOs to coordinate care and cost effectively? Today, the empirical support of ACOs to their goal still…

    • 581 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Analyze and comment on economic analyses of health administrative innovations that are germane to the provision of health services. How have these innovations become more important in health care delivery within the context of the Affordable Care Act? Throughout the health care system, it has used the expansion of healthcare insurance for accessing several strategies that are used to promote how the services are delivered which is through models, strategies, and payment structure build on the improvement of health care quality. By using the Affordable Care Act (ACA), it has given the Americans a reason to improve on chosen approaches that would eventually overcome the populations based on the reduction of healthcare cost. Develop a list of similarities and differences between cost benefit and cost effectiveness analysis as they pertain to specific health care service demands.…

    • 293 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Surveys on quality and customer values are performed by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. The studies of customer satisfaction with ACA indicates that the interpretation of patient satisfaction can be complex, but it is very important to understand the trends in order to provide the customers of the highest quality of patient experience. Nonetheless, patient satisfaction has shown a trend to increase since the start of…

    • 1311 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Once I got changed out into the OR scrubs, I then had the option to pick which surgery I wanted to observe. My decision was a TKA or total knee replacement. A total knee replacement is a surgical procedure where the joints in the knee is replaced with artificial metal plate in place of the knee joint, and a cement like base to hold the metal piece or prosthetic in place. The surgeon marks the incision across the knee for the procedure. After the cut is made the surgeon gets down to the bone, and remove what is no longer needed or the diseased part of the bone.…

    • 1507 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Time along with supplies are sometimes wasted to treat non-emergencies. If this small could change within the act, people use urgent care facilities and primary doctors for their non-emergency needs, the hospitals could run more efficiently and eventually the cost would probably go…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Athletes are unfortunately exposed to a higher occurrence of injury due to the nature of increased repetitive activities. Whether a high school, college or weekend warrior athlete, these injuries can cause costly doctor visits and time off. According to Stanford Children’s Health, 3.5 million children are injured each year due to sports that range from sprains to injuries needing surgery. The healing process and the care the athlete receives can be the difference between healing and never playing the sport again.…

    • 456 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Seeking Medical Care

    • 1372 Words
    • 6 Pages

    Introduction: Individuals should seek appropriate and timely medical attention to facilitate early intervention and management of any acute illness or chronic disease (Jin, Sklar, Oh, & Li, 2008). Participation and compliance with prescribed medical treatment is often crucial in preventing further complications and has proven to significantly affect prognosis and best outcomes (Dang, Giordano, & Kim, 2011). After implementation of the Affordable Care Act, the question still persists: What are the primary reasons that patients do not seek medical care? Several common factors are identified contributing to and influencing the behaviors in a patient- centered healthcare delivery system (Levesque, Harris, & Russell 2013). Literature suggests…

    • 1372 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    A person does not just decide whether they are able to pay for a surgery. If the hospital denies a person the medical treatment they need, there is a large chance it is going to hugely affect that person. Not everyone is able to pay for expensive treatments. Hospital fees are extremely…

    • 1068 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    There is a notable rise in the in uninsured and elderly individual. This means a rise in number of patients who need care and a large population being the elderly who have more needs due to comorbidities. Going forward, the care providers and the institutions have to adjust as the health care continues in its roll out process. There are areas to focus to include: a) Hospital readmission reduction program. In its implementation, patient discharge process should be harmonized and patient educated on how to care for themselves at home or link up any service required with home health team.…

    • 417 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Caring for patients who have received a hip arthroplasty, requires some specific and unique nursing considerations and care. While it is an elective surgery, many patients opt to get it to decrease pain due to osteoarthritis and to increase mobility. Each patient will have different perioperative experiences, and as a nurse it is important to be able to know the interventions and what to consider to make their overall experience as positive as possible. Trigger Event My first week of clinical, my patient was post-op day one from a left hip arthroplasty.…

    • 904 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    During a patient visit, both the patient and provider must decide on which health issues to discuss. The provider must also decide on what care to provide the patient within the limited time frame of the appointment. By introducing a new guideline, another may be dropped, resulting in the rationing of care. The discontinued care is the opportunity cost of implementing the new guideline. Even when a provider is able to follow all guidelines on a given patient and spends the extra time required to do so, opportunity cost still occurs.…

    • 1081 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Healthcare Expensive Essay

    • 1122 Words
    • 5 Pages

    Why is Health Care Expensive? Today’s world revolves around money, whether it be for food, clothing, or bills. Hospital visits involve an extreme amount of money and appears to increase each day. People visit hospitals for illness, check-ups, broken bones, etc.…

    • 1122 Words
    • 5 Pages
    Improved Essays