Study authors examined data from CON and non-CON states from the 100% Medicare Standard Analytical Files on total knee replacements performed from 2005 to 2014. Key findings in the study include:
1. Certificate-of-need states were associated with lower total knee replacement utilization.
2. Annual total knee replacement procedure volume increase more quickly in states with CON laws — 5.6 percent — compared with non-CON states — 2.3 percent.
3. Total knee replacement, when the data was normalized to the Medicare patient population, increased 2 percent in CON states, compared to a 7.2 percent decrease in states without CON regulations.
4. Reimbursement for Medicare patients was 5 percent to 10 percent lower in states without CON legislation.
5. There were more total knee replacements done in low volume hospitals in non-CON states than in CON states.
6. The data did not suggest CON regulations were associated with better quality of care.
More articles on orthopedic surgery:
3 orthopedic surgeons to perform outpatient anterior hip replacement in Washington ASC: 5 things to know
OrthoAtlanta brings Dr. Yolanda Scott onto staff—4 insights
5 trends on outpatient total joints in NY
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
