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| Today’s Top Story
Study: Effect of BMI on Hip Arthroscopy Outcomes for FAIS
A study published online in The American Journal of Sports Medicine reported the impact of BMI on five-year outcomes in patients who underwent hip arthroscopy for femoroacetabular impingement syndrome (FAIS). A total of 140 patients with a mean follow-up of 62.1 months were retrospectively reviewed: 20 morbidly obese, 20 obese, 40 overweight, and 60 normal weight. The normal and overweight groups had significantly improved Hip Outcome Score Activities of Daily Living and Sports Subscale, as well as modified Harris Hip Score (mHHS). The obese group had significantly improved mHHS. None of the functional scores significantly improved in the morbidly obese group. Pain scores significantly improved in all groups.
Read the abstract… |
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| In Other News
Study Evaluates Quality, Cost of TSA at Physician-owned Hospitals
A study published in the Dec. 1 issue of the Journal of the AAOS ® examined total shoulder arthroplasty (TSA) at physician-owned hospitals (POHs). Using the 2011 to 2014 Medicare 100% Standard Analytical Files, 1,626 patients (2.2 percent) were identified who underwent reverse or anatomic TSA at a POH. Compared to non-POHs, there were no significant differences in 90-day surgical site infections, dislocation, periprosthetic fractures, revision arthroplasty, pulmonary embolism, deep vein thrombosis, acute myocardial infarction, sepsis, urinary tract infections, and all-cause readmissions. Patients treated at POHs had higher odds of 90-day and one-year stiffness, as well as lower risk-adjusted 90-day charges and costs.
Read the abstract… |
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| Study Analyzes Impact of Diagnosed Depression, Antidepressants on PROMIS Depression Scores in Operative Hand Patients
A study published online in The Journal of Hand Surgery examined the use of Patient-reported Outcomes Measurement Information System (PROMIS) depression scores among patients undergoing hand surgery. Between April 21, 2016, and Nov. 22, 2017, 351 patients presented to a tertiary hand center and completed self-administered PROMIS depression computer adaptive tests. Patients were stratified by no diagnosed depression, depression without medication, and depression with medication. Of the 62 patients diagnosed with depression, 34 reported taking antidepressant medications. Per the PROMIS depression scores, current depressive scores were greater among patients with a history of diagnosed depression when not taking antidepressants and those taking antidepressants.
Read the abstract… |
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| CY 2021 Medicare Outpatient and Ambulatory Surgery Payment Rule Finalized
The Centers for Medicare & Medicaid Services (CMS) finalized the Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center payment rules, which will go into effect Jan. 1, 2021. Among the changes, CMS will begin eliminating the inpatient-only (IPO) list, beginning with 266 musculoskeletal procedures. The IPO list will be completely phased out by calendar year (CY) 2024. Additionally, high Medicaid POHs will be able to expand, total hip arthroplasty can be reimbursed at ambulatory surgery centers, and CMS is requiring prior authorization for cervical fusion with disk removal and spinal neurostimulators.
Read the fact sheet…
Learn more with AAOS’ final rule summary… |
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| CMS Announces New Model to Advance Regional Value-based Care in Medicare
CMS announced the new Geographic Direct Contracting Model, which will test the efficacy of a geographic-based approach to value-based care to improve quality of care and reduce costs for Medicare beneficiaries in a geographic region. In the model, participants will take on 100 percent shared savings/losses for providing services to a minimum of 30,000 Medicare Part A and B beneficiaries in a defined geographic region. The model will run for a total of six years, separated into two three-year performance periods, which begin on Jan. 1, 2022, and Jan. 1, 2025.
Read the fact sheet…
Read the CMS press release… |
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| AAOS Now
Secondary Fracture Prevention: 30 Years of Progress in Patient Identification and Care
During the ninth Own the Bone Symposium, in a presentation titled “Bone Health and Fragility Fractures: Introduction to Secondary Fracture Programs, What’s the Problem?” viewers were provided information on the background to both the feasibility and the urgency to address secondary fracture prevention now. This article, which is part one in a series about osteoporotic fractures, provides an overview of the opening presentation of the webinar, given by Joan McGowan, PhD, as well as an update on current activities supported by AAOS and the American Orthopaedic Association to enhance secondary fracture prevention.
Read more… |
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| Your AAOS
Advocacy Action Alert: Final Opportunity to Prevent Scheduled 2021 Medicare Cuts
Now that CMS has finalized policies to cut Medicare payments by 10 percent, the last opportunity to prevent the reductions from taking effect on Jan. 1, 2021, is through congressional intervention. AAOS, in partnership with a coalition of healthcare organizations, is urging Congress to pass the Holding Providers Harmless from Medicare Cuts During the COVID-19 Act (H.R. 8702). This bill would alleviate any Medicare reimbursement differences between 2020 and 2021/2022. Help build support for this critical legislation in any year-end package by contacting your representatives today.
Take action… |
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