The Orthopaedic Forum   |    
Medicare Physician Reimbursement: Past, Present, and Future
Sanaz Hariri, MD1; Kevin J. Bozic, MD, MBA2; Carlos Lavernia, MD3; Ann Prestipino, MPH1; Harry E. Rubash, MD1
1 Department of Orthopaedic Surgery (S.H. and H.E.R.) and Surgical and Anesthesia Services and Clinical Business Development (A.P.), Massachusetts General Hospital, 55 Fruit Street, YCOC, Suite 3700, Boston, MA 02114-2696. E-mail address for S. Hariri: shariri@partners.org. E-mail address for A. Prestipino: aprestipino@partners.org. E-mail address for H.E. Rubash: hrubash@partners.org
2 Department of Orthopaedic Surgery, University of California at San Francisco, 500 Parnassus, MU 320W, San Francisco, CA 94143-0728. E-mail address: bozick@orthosurg.ucsf.edu
3 Orthopaedic Institute at Mercy Hospital, 3659 South Miami Avenue, Suite 4008, Miami, FL 33133. E-mail address: CLavernia@mercymiami.org
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors or a member of his or her immediate family received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (Zimmer and United Health Care). Also, a commercial entity (Mercy Hospital and Zimmer) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Nov 01;89(11):2536-2546. doi: 10.2106/JBJS.F.00697
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Recent proposals in the United States to cut Medicare physician-reimbursement rates for certain orthopaedic procedures, particularly in the field of hip and knee arthroplasty, have heightened the general orthopaedic community's interest in Medicare physician-reimbursement policy.Familiarizing oneself with Medicare physician-reimbursement policies in particular is important as most private and public insurers base their payments on Medicare fee schedules and regulations. The 2004 American Academy of Orthopaedic Surgeons (AAOS) Physician Census revealed that >90% of orthopaedists in private practice identified insurance or Medicare and Medicaid reimbursement levels and increasing practice expenses as major concerns1. Medicare and Medicaid accounted for an average of 33% of an orthopaedist's practice in 2006, having risen steadily from 26% in 19882.
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