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Alternative Payment Models in Total Joint Arthroplasty Under the Affordable Care Act

Cizmic, Zlatan, MD1; Novikov, David, BS1; Feng, James, MD1; Iorio, Richard, MD1; Meftah, Morteza, MD1

doi: 10.2106/JBJS.RVW.18.00061
Review Articles

  • » Since the passage of the U.S. Patient Protection and Affordable Care Act (ACA), health care has transitioned from a volume-based enterprise to a quality-based enterprise. Under this legislation, Alternative Payment Models (Bundled Payments for Care Improvement [BPCI], Comprehensive Care for Joint Replacement [CJR], and Accountable Care Organizations [ACOs]) have been developed to provide stakeholders with reimbursement systems that reward high-quality care and cost reduction.
  • » The goal of this article was to elaborate on the various Alternative Payment Models and recent amendments and how these unique payment paradigms may offer orthopaedic surgeons innovative principles to further advance the quality and efficiency of total joint arthroplasty.

1Department of Orthopedic Surgery, NYU Langone Orthopedics Hospital, NYU Langone Health, New York, NY

E-mail address for M. Meftah:

Investigation performed at the Department of Orthopedic Surgery, NYU Langone Orthopedics Hospital, NYU Langone Health, New York, NY

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and “yes” to indicate that the author had other relationships or activities that could be perceived to influence, or have the potential to influence, what was written in this work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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