Economic Impact of Orthopedic Adult Reconstruction Office Practice: The Implications of Hospital Employment Models on Local Economies

Richard Iorio, Thomas Fehring, Sally York, Mark Froimson, David Halsey, Susan Odum, Charles M. Davis, Richard Santore, Louis F. McIntyre

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to evaluate the economic attributes of private practice adult reconstruction (AR) offices. 458 AAHKS surgeons responded; 65% were in private practice (fee-for-service, non-salaried, non-employed AR surgeons). 54% had considered hospital employment in the past two years. The average group employs 13.4 orthopedic surgeons (3.4 AR), and 105 other employees. The average total budget is $12.5 million per year with $4 million in salaries, and $238,000 in tax revenue generated. Co-management joint ventures are a better model than hospital employment for aligning AR surgeons and hospitals and realizing the cost effectiveness and quality improvement goals of PPACA and AARA while preserving the economic impact of AR private practice.

Original languageEnglish (US)
Pages (from-to)923-930
Number of pages8
JournalJournal of Arthroplasty
Volume30
Issue number6
DOIs
StatePublished - Jun 1 2015

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

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