WASHINGTON D.C. — In a move that could drastically affect knee and hip replacement costs, the U.S. government will now pay doctors more for doing less.
The Centers for Medicare & Medicaid Services (CMS) will shift how it pays hospitals in the United States for major leg procedures on April 1.
Medicare is reportedly rolling out the program — coined the Comprehensive Care for Joint Replacement (CJR) model — for hospitals in 67 areas. These hospitals account for about one-third of hip and knee replacements covered by Medicare, according to Healthline.com.
Previously, these procedures were reimbursed on a “pay per volume” basis, which meant that the more surgical and postoperative procedures that a provider performed, the more it got paid.
Now, joint replacement will be subject to a “bundled” model. The Centers for Medicare and Medicaid Services will follow patients for 90 days, and the provider will receive a bonus if its bill is below a target amount. The CMS said it hopes the new system will dissuade doctors from performing these procedures because of their high complication rates, resulting in a savings of $343 million over the next five years.
Knee Replacement Lawsuits
This procedure is designed to increase mobility after the knee joint deteriorates, a condition particularly common in the elderly. The doctor essentially reinforces the bone with metal to strengthen the joint and restore freedom of movement.
Because of the device’s design, soft bone tissue can grow between the metal components and the solid bone matter, causing the gadgets to dislodge. The resulting pain and stiffness causes patients to lose whatever mobility they had recovered, and in many cases, the renewed immobility is even worse than it was before.
Dislodged devices must be removed promptly, exposing patients to possibly fatal infections.
Defective devices, particularly when designed to meet a particular purpose, often lead to substantial damage awards in court. In some jurisdictions, the plaintiff must also prove that there was a reasonable alternative design available.
Our Defective Knee Replacement Lawyers Can Help
Our defective medical device attorneys can help if you or someone you care about was injured during or after receiving a knee replacement implant. Lawsuits have been filed against the device makers by both patients and their families seeking compensation for injuries caused by the defective medical device. You may be entitled to a settlement.
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You can afford to have our great team of lawyers on your side. When you choose us, it literally costs nothing to get started. We promise you in writing:
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Start Your Knee Replacement Lawsuit Claim
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We will listen to your story and answer your questions. If you have claim, we will start immediately.
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