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  • Article

Drivers of the Variation in Prosthetic Implant Purchase Prices for Total Knee and Total Hip Arthroplasties

By: Derek A. Haas, Kevin J Bozic, Anthony M. DiGioia, Zirui Song and Robert S. Kaplan
Previous studies have documented wide variation in health-care spending and prices; however, the causes for the variation in supply purchase prices across providers are not well understood. The purpose of this study was to determine the drivers of variation in... View Details
Keywords: Costing; Cost Variation; Total Knee Arthroplasty; Total Hip Arthroplasty; Prosthetic Implant Cost; Health Care and Treatment; Cost Management; Health Industry; Medical Devices and Supplies Industry
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  • March 2017
  • Article

Variation in the Cost of Care for Primary Total Knee Arthroplasties

By: Derek A. Haas and Robert S. Kaplan
The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details
Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry
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  • February 2014
  • Article

Causes and Frequency of Unplanned Hospital Readmission After Total Hip Arthroplasty.

By: W. W. Schairer, D. C. Sing, T. P. Vail and K J Bozic
BACKGROUND:
Total hip arthroplasty (THA) is a beneficial and cost-effective procedure for patients with osteoarthritis. Recent initiatives to improve hospital quality of care include assessing unplanned hospital readmission rates. Patients presenting for THA have... View Details
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  • October 2013
  • Article

Barriers to Completion of Patient Reported Outcome Measures

By: Elizabeth H. Schamber, Steven K. Takemoto, Kate Eresian Chenek and Kevin J. Bozic
Patient Reported Outcomes Measures (PROMs) are commonly used in total joint arthroplasty (TJA) to assess surgical outcomes. However certain patient populations may be underrepresented due to lower survey completion rates. The purpose of this study is to evaluate... View Details
Keywords: Patient Reported Outcome Measures; PROM; Total Joint Arthroplasty; Hip; Knee; Electronic Survey; Equality and Inequality; Demographics; Surveys; Health Care and Treatment; Health Industry
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  • November 2019
  • Article

A Review of Bundled Payments in Total Joint Replacement

By: Olivia Manickas-Hill, Kevin J. Bozic and Thomas W. Feeley
The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health care expenditures while maintaining or improving patient outcomes.
Several published reports evaluating the impact... View Details
Keywords: Bundled Payments; Health Care and Treatment; Cost Management
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  • June 2014 (Revised April 2015)
  • Supplement

OrthoChoice: Bundled Payments in the County of Stockholm (B)

By: Michael E. Porter, Clifford M. Marks and Zachary C. Landman
By the end of 2008, all major hospitals (one of which was private) and three private specialized orthopedic centers signed OrthoChoice contracts. In 2009, hip and knee replacements in the County of Stockholm for relatively healthy patients began being reimbursed. By... View Details
Keywords: Hip Replacement; Bundled Payment; Knee Replacement; Value Agenda; Strategy; Health Care Industry; Health; Health Care and Treatment; Health Disorders; Health Industry; Sweden
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  • Research Summary

Overview

Selected current projects: Shared Decision Making and Patient Engagement in Orthopaedic Surgery Identification of Risk Factors for Revision Surgery Following Primary THA and TKA Integrated Care Delivery and Episode of Care Payments in Hip and Knee Arthroplasty The... View Details
  • Web

Cases & Teaching Notes - Institute For Strategy And Competitiveness

new relationships with payers, hospitals, and physicians to become more accountable for patient outcomes and total costs. The case describes new forms of... May 2018 HBS Case Collection Kaiser Permanente Colorado: Primary Care Plus by... View Details
  • 29 May 2007
  • First Look

First Look: May 29, 2007

surgeons who perform hip and knee arthroplasties and patients who were scheduled to have hip or knee arthro-plasty. Respondents were asked for their opinions of and experiences... View Details
Keywords: Martha Lagace
  • 21 Feb 2017
  • First Look

First Look at New Research: February 21

historical long run). Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=52277 February 2017 Journal of Arthroplasty Drivers of the Variation in Prosthetic Implant Purchase Prices for Total... View Details
Keywords: Carmen Nobel
  • Web

Teaching Cases - Institute For Strategy And Competitiveness

use time-driven activity-based costing (TDABC) for measuring the cost of total knee replacements. The costing project complements an existing initiative for comprehensive outcomes measurement. The combination of accurate measurement of... View Details
  • 25 Oct 2016
  • First Look

October 25, 2016

our sample alone. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=51757 September 30, 2016 Arthroplasty Today Variation in the Cost of Care for Primary Total Knee View Details
Keywords: Sean Silverthorne
  • 09 Dec 2014
  • First Look

First Look: December 9

being reimbursed. By 2013, OrthoChoice had covered 12,531 hip and knee replacements, accounting for 59% of such operations for county residents. Total payments were SEK 704.5 million ($109.4 million). Dr.... View Details
Keywords: Sean Silverthorne
  • 25 Sep 2009
  • News

HBS’s Oldest Class Secretary

percent from the petroleum industry. Charlie was among the last group, for he was manager of Standard Oil’s Everett, Massachusetts, refinery when he attended HBS. He worked a total of 36 years for affiliates of Standard Oil and the last... View Details
Keywords: Keith Larson
  • 01 Jun 1998
  • News

Lisa Frankenberg

one of Europe's hip cities. But Frankenberg soon realized that for an English-language paper to succeed, it would also have to appeal to the region's growing international business community. She pitched the idea for such a publication to... View Details
Keywords: Marguerite Rigoglioso; photograph by Webb Chappell
  • 01 Jun 2002
  • News

Alfred L. Cheauré - A Dog's Life

DNA.) We're also planning to launch an AKC-branded pet insurance product to meet a critical need since medical advances that have served humans well are now being made available for our canine companions. Procedures such as hip... View Details
Keywords: Susan Young
  • 25 May 2015
  • Blog Post

RapidSOS Wins the HBS New Venture Competition

father climbed up the ladder to clear the roof.  My father remembers it as a blur, but in an instant he was lying in the driveway with the excruciating pain of a shattered hip and broken wrist. Surrounded by only the snow piles of our... View Details
  • Profile

Minal Mehta

popular with women, we find that men enjoy taking our class—and keep coming back. Because our choreography is more based on jumps and shoulder motions, as opposed to hip movements, men don't feel intimidated by the class." What's... View Details
Keywords: Entrepreneurship; Services
  • Web

Articles - Institute For Strategy And Competitiveness

in attempts to cut costs, uncovering multiple opportunities to improve processes in ways that lower total costs and deliver better care. Publications Delivering Higher Value Care Means Spending More Time with Patients HARVARD BUSINESS... View Details
  • 12 Jun 2014
  • News

The First Five Years: Minal Mehta (MBA 2011)

with women, we find that men enjoy taking our class—and keep coming back. Because our choreography is more based on jumps and shoulder motions, as opposed to hip movements, men don't feel intimidated by the class." What's been the most... View Details
Keywords: fitness; Arts, Entertainment