The purpose of this study was to examine current attitude of hand surgeons toward the Affordable Care Act (ACA). An electronic survey was sent to members of American Society for Surgery of the Hand (ASSH) to examine their attitude toward the Affordable Care Act. 974 ASSH members responded to the survey (33% response rate). The majority of respondents were male (89%), trained in orthopedic surgery (81%), and in private practice (75%). 41% of respondents rated their knowledge of the ACA as average. Respondents disagreed that the ACA would improve healthcare in the United States (median 2, mean 2.06, scale 1-5), while agreeing that the ACA would decrease reimbursements specific to hand surgery (median 4, mean 4.11).

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5090240PMC
http://dx.doi.org/10.1016/j.jor.2016.10.016DOI Listing

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Article Synopsis
  • The review focuses on episode-based bundled payment models for hand surgery as a means to reduce healthcare costs and improve patient care.
  • Traditional fee-for-service models are ineffective in promoting collaboration among healthcare providers, while bundled payments encourage team-based approaches and resource optimization.
  • Current literature suggests that implementing these models could lead to cost savings and better patient outcomes, warranting further trials in hand surgery.
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