Modern Healthcare May 26, 2018
A few weeks ago, Dr. Kevin Bozic saw a 68-year-old patient who appeared to exemplify the “perfect bundle” under Medicare’s test payment program for knee replacements. She was only in the hospital for one night. She wasn’t readmitted and didn’t report complications within 90 days.
But in their follow-up visit, she was miserable. That perplexed Bozic, an orthopedic surgeon and chair of the surgery and perioperative care department at the University of Texas at Austin’s Dell Medical School. The surgery, performed by a different surgeon, was 18 months ago. The patient’s X-rays looked fine, her range of motion was good and there wasn’t any swelling or redness around her knee.
Then Bozic checked out her preoperative X-ray, which showed very...
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