Background: The economic effects of the COVID-19 crisis are not like anything the U.S. health care system has ever experienced.

Methods: As we begin to emerge from the peak of the COVID-19 pandemic, we need to plan the sustainable resumption of elective procedures. We must first ensure the safety of our patients and surgical staff. It must be a priority to monitor the availability of supplies for the continued care of patients suffering from COVID-19. As we resume elective orthopedic surgery and total joint arthroplasty, we must begin to reduce expenses by renegotiating vendor contracts, use ambulatory surgery centers and hospital outpatient departments in a safe and effective manner, adhere to strict evidence-based and COVID-19-adjusted practices, and incorporate telemedicine and other technology platforms when feasible for health care systems and orthopedic groups to survive economically.

Results: The return to normalcy will be slow and may be different than what we are accustomed to, but we must work together to plan a transition to a more sustainable health care reality which accommodates a COVID-19 world.

Conclusion: Our goal should be using these lessons to achieve a healthy and successful 2021 fiscal year.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166028PMC
http://dx.doi.org/10.1016/j.arth.2020.04.038DOI Listing

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