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
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Network's tools help at-risk providers save millions. Capitation Manag Rep 2002;9(2):17-9.
    Rearranging the deck chairs. Health Aff (Millwood) 2006 Nov-Dec;25(6):w537-9.
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Oklahoma - The University of Oklahoma
    California - UCLA/OH Department of Orthopaedic Surgery
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    Louisiana - Ochsner Health System