Publications by authors named "J HAGLIN"
Background: Value-based care payment and delivery models such as the recently implemented Merit-based Incentive Payment System (MIPS) aim to both provide better care for patients and reduce costs of care. Gender disparities across orthopaedic surgery, encompassing reimbursement, industry payments, referrals, and patient perception, have been thoroughly studied over the years, with numerous disparities identified. However, differences in MIPS performance based on orthopaedic surgeon gender have not been comprehensively evaluated.
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- The study aimed to assess trends in the use and reimbursement of open carpal tunnel release (OCTR) and endoscopic carpal tunnel release (ECTR) surgeries among Medicare patients from 2013 to 2021.
- Results showed a notable increase in ECTR utilization (50%) compared to OCTR (6%), with regional differences in usage and reimbursement amounts; the Midwest had the highest OCTR usage but lowest ECTR usage.
- Despite the increased utilization of both procedures, reimbursement rates fell (10.3% for OCTR and 11.8% for ECTR), and the patient demographics revealed fewer patients with serious comorbidities or dual Medicare-Medicaid coverage, suggesting stricter criteria for surgery eligibility
Background: The goal of this study was to evaluate differences in carpal tunnel release volume, reimbursement, practice styles, and patient populations between male and female surgeons from 2013 to 2021.
Materials And Methods: The Medicare Physician & Other Practitioners database was queried from 2013 to 2021. Procedure volume, reimbursement, surgeon information, and patient demographic characteristics were collected for any surgeon who performed at least 10 open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) procedures that year.
Purpose: To compare Medicaid and Medicare rates for the 20 most commonly billed orthopaedic sports medicine procedures.
Methods: Medicaid reimbursement rates were obtained from state-specific fee schedules. Medicare rates were collected from the Centers for Medicare & Medicaid Services Physician Fee Schedule, along with relative value units for each procedure.
Background: While the prevalence of total knee arthroplasty (TKA) is increasing, reimbursement is declining. The purpose of this study was to determine how surgeon gender influences procedure volume, reimbursement, practice style, and patient demographics for TKAs nationally and regionally between 2013 and 2021.
Methods: The Medicare Physician and Other Practitioners database was queried from 2013 to 2021 for procedure volume, TKA reimbursement, surgeon characteristics, and patient demographics for any surgeon who performed at least ten primary TKAs per year.