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The Orthopaedic Forum   |    
AOA SymposiumGainsharing in Orthopaedics: Passing Fancy or Wave of the Future?*
Douglas R. Dirschl, MD1; Joane Goodroe2; D. McCarty Thornton3; Gary W. Eiland4
1 Department of Orthopaedics, University of North Carolina, CB#7055, 3147 Bioinformatics Building, Chapel Hill, NC 27599-7055. E-mail address: dirschld@med.unc.edu
2 Goodroe Healthcare Solutions, LLC, 3091 Governor's Lake Drive, Suite 299, Norcross, GA 30071. E-mail address: jgoodroe@goodroe.com
3 Sonnenschein Nath and Rosenthal, LLP, 1301 K Street N.W., Suite 600, East Tower, Washington, DC 20005. E-mail address: mthornton@sonnenschein.com
4 Vinson and Elkins, LLP, First City Tower, 1001 Fannin, Suite 2500, Houston, TX 77002-6760. E-mail address: geiland@velaw.com
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Presented at the Annual Meeting of the American Orthopaedic Association, San Antonio, Texas, June 21-24, 2006

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Sep 01;89(9):2075-2083. doi: 10.2106/JBJS.F.01342
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Extract

Gainsharing agreements between physicians and health-care institutions have received increasing amounts of attention in recent years1-5. Many have advocated that gainsharing arrangements are effective ways to align incentives for physicians and health-care institutions to decrease health-care expenditures3,4,6-8. One of the most difficult aspects of understanding this topic is that the term "gainsharing" has not been defined with precision. An example of the sort of imprecise definitions that have been published include the definition of gainsharing as "an arrangement in which hospitals and physicians share in any cost savings achieved through greater efficiencies and physicians' efforts."3
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