Medicare Reimbursement Attributable to Periprosthetic Joint Infection Following Primary Hip and Knee Arthroplasty

J Arthroplasty. 2015 Jun;30(6):931-8.e2. doi: 10.1016/j.arth.2015.01.017. Epub 2015 Jan 19.

Abstract

This study estimated Medicare reimbursement attributable to periprosthetic joint infection (PJI) across the continuum of covered services four years following hip or knee arthroplasty. Using 2001-2008 Medicare claims data, total and annual attributable reimbursements were assessed using generalized linear regression, adjusting for potential confounders. Within one year following arthroplasty, 109 (1.04%) of 10,418 beneficiaries were diagnosed with PJI. Cumulative Medicare reimbursement in the PJI arm was 2.2-fold (1.9-2.6, P<.0001) or $53,470 ($39,575-$68,221) higher than that of the non-PJI arm. The largest difference in reimbursement occurred the first year (3.2-fold); differences persisted the second (2.3-fold) and third (1.9-fold) follow up years. PJI following hip or knee arthroplasty appears costly to Medicare, with cost traversing several years and health care service areas.

Keywords: Medicare reimbursement; arthroplasty; healthcare costs; healthcare-associated infection; periprosthetic joint infection.

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Hip / economics
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Arthroplasty, Replacement, Knee / economics
  • Comorbidity
  • Female
  • Humans
  • Insurance, Health, Reimbursement / economics*
  • Male
  • Medicare / economics*
  • Prosthesis-Related Infections / economics*
  • Prosthesis-Related Infections / etiology
  • Retrospective Studies
  • United States