AAOS Now, December 2012
As Medicare Costs Rise, Reimbursements Drop
John C. Nordt, MD; Michael P. Connair, MD; Jamie A. Gregorian, Esq. In 1990, Medicare expenditures totaled $111 billion. That number has more than quintupled today. But even as Medicare costs have skyrocketed, the individual payments to physicians for services rendered have plummeted—particularly for surgical procedures.
Documenting Medical Necessity for TJR
Although a total hip or total knee arthroplasty is frequently seen as an “elective” procedure, for most patients, it’s also the last step in a long effort to maintain quality of life. Most orthopaedic surgeons won’t recommend a total joint replacement (TJR) until after multiple other options to reduce pain and maintain function have been tried.
Obama Wins Second Term
The news came shortly after 11:00 p.m. EST on Nov. 6: President Barack Obama had won Ohio and a second term in office. The final electoral count tally gave Mr. Obama 332 Electoral College votes and Republican nominee Mitt Romney 206. The popular vote was much closer; with 99 percent of the ballots counted, Mr. Obama had about a 3.25 million vote lead nationwide (out of more than 120 million votes cast), giving him just over 50 percent of the popular vote.