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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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  • 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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  • Research Summary

Integrated Care for Total Knee Replacement: Quality of Life, Quality of Movement, User Acceptability

This study provides an opportunity to focus on the challenge of cross-organizational coordination in the healthcare setting. It is structured as a randomized clinical trial involving seven European hospitals (in seven different countries). It is focused specifically... View Details
  • Research Summary

The Effect of Hospital and Surgeon Procedure Volume on the Outcomes of Primary and Revision Total Knee Replacement: Magnitude and Mechanisms

My role in this study is to assess whether care provider coordination mediates the relationship between surgical volumes and patient outcomes. It is a study involving hundreds of hospitals and thousands of patients, and for the main study, coordination will be... View Details
  • 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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  • 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
  • March 2012 (Revised December 2014)
  • Case

Schön Klinik: Measuring Cost and Value

By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)... View Details
Keywords: Health Care; Costing; Activity-Based Costing; Hospitals; Activity Based Costing and Management; Value; Health Care and Treatment; Outcome or Result; Health Industry; Germany
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  • 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
  • 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 View Details
Keywords: Sean Silverthorne
  • 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
  • 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
  • 01 Mar 2017
  • Research & Ideas

A Good Thing Happens When Doctors Start Talking to Their Patients

skilled nursing facilities for their recovery, where they could learn how to walk, climb stairs, and get into a car with their new knee or hip. In other hospitals, however, those skills were discussed in a 30- to 60-minute conversation in... View Details
Keywords: by Michael Blanding; Health
  • 06 Aug 2013
  • First Look

First Look: August 6

care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC) for measuring the cost of total knee replacements. The costing project complements an existing... View Details
Keywords: Anna Secino
  • 21 Sep 2009
  • Research & Ideas

Excessive Executive Pay: What’s the Solution?

crescendo last March when insurance conglomerate AIG, kept on life support with up to $183 billion in taxpayers' cash, dished out bonuses totaling $165 million to 400 employees in the London office whose derivatives trading nearly... View Details
Keywords: by Roger Thompson

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