The Journal of Bone and Joint Surgery (American). 2008;90:2282-2291.
doi:10.2106/JBJS.H.00562
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Medicare Part B: Physician Participation Options

Sanaz Hariri, MD1, Kevin J. Bozic, MD, MBA2, Mary I. O'Connor, MD3 and Harry E. Rubash, MD4

1 Massachusetts General Hospital, 55 Fruit Street, WHT-5-535, Boston, MA 02114-2696. E-mail address: sanaz@post.harvard.edu
2 Department of Orthopaedic Surgery, University of California at San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143-0728. E-mail address: bozick@orthosurg.ucsf.edu
3 Department of Orthopedic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224. E-mail address: oconnor.mary@mayo.edu
4 Massachusetts General Hospital, 55 Fruit Street, YCOC, Suite 3700, Boston, MA 02114-2696. E-mail address: hrubash@partners.org

The first 150 words of the full text of this article appear below.


   Introduction
 
Orthopaedic surgeons in the United States have recently been facing the challenge of caring for their patients in the face of rising costs and declining reimbursements. While medical practice expenses and professional liability insurance rates have been increasing, the average Medicare reimbursement rates for the twenty-five most frequently performed orthopaedic surgical procedures (Table I) have declined 28% since 1992, after adjustment for inflation with use of the Consumer Price Index1,2. For the last several years, physicians have been subject to what has become a familiar scenario: projected Medicare physician reimbursement decreases are met by last-minute congressional action that either temporarily freezes or marginally increases reimbursement without keeping pace with the inflation rate. None of these congressional stopgap measures revise the formula (the sustained growth rate formula, or SGR) that has mandated, and will continue to mandate, annual decreases in physician reimbursement. Furthermore, since these congressional reimbursement measures . . . [Full Text of this Article]


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