That outpatient trend is not new, but it has accelerated at a time when hospital finances are already under pressure from the coronavirus pandemic and rising labor costs.
surgeon replaced Kathryn Patterson’s left hip in May 2021, the North Cape May resident was part of a massive shift in the way joint replacements are done.
At the Philadelphia-based Rothman Orthopaedic Institute, which is among the largest orthopedic groups in the United States, speedy outpatient joint replacements like Patterson’s are rapidly becoming the norm — replacing the traditional inpatient stays after surgery and adding to theIn the first half of this year, 73% of Rothman’s hip and knee replacements were outpatient, compared with just 14% outpatient in the first half of 2019. That change comes with significant savings.
But what’s good for patients, doctors, and insurers is increasing the financial strain on hospitals. That is especially true for community hospitals that don’t provide the most complex levels of care but are good sources of jobs and often provide a feeling of security to their communities. Even at major academic centers like the University of Pennsylvania Health System, the shift is adding to financial stress.
get relatively little benefit from the growth of surgery centers. Many outpatient joint replacements are done in a hospital operating room but without an inpatient stay, meaning hospitals have lower reimbursement but the same level of costs. The health system’s chief executive, Kevin Mahoney, added: “Technology changes are going to continue to push and reimbursement changes are going to continue to push surgeries to the outpatient setting. We need to get our costs down so we can still be profitable that way.”
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