Practice Management Strategies Among Current Members of the American Association of Hip and Knee Surgeons

J Arthroplasty. 2024 Sep;39(9S2):S39-S44.e5. doi: 10.1016/j.arth.2024.02.080. Epub 2024 Mar 7.

Abstract

Background: A survey was conducted at the 2023 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) to assess practice management strategies among current AAHKS members.

Methods: Members of AAHKS used an app to answer both multiple-choice and "yes or no" questions related to a variety of issues related to their practices.

Results: The number of AAHKS members in private practice (37%) continues to decline, and 4% are now in private equity-employed practices. Fee for service (30%) and relative value units (30%) are the major forms of compensation. The number of AAHKS members that perform total joint arthroplasties at ambulatory surgery centers continues to increase, and supply chain issues (91%) remain a problem. There has been a decrease in surgeon participation in bundled payment programs and gainsharing arrangements with hospitals.

Conclusions: This member's survey provides valuable information regarding practice patterns. The shift to outpatient surgery has continued. Future surveys will be performed to monitor changes in practice patterns over time.

Keywords: bundled payments; fee for service; practice management; same day surgery; total hip arthroplasty; total knee arthroplasty.

MeSH terms

  • Arthroplasty, Replacement, Hip* / economics
  • Arthroplasty, Replacement, Hip* / statistics & numerical data
  • Arthroplasty, Replacement, Knee* / economics
  • Arthroplasty, Replacement, Knee* / statistics & numerical data
  • Humans
  • Orthopedic Surgeons / statistics & numerical data
  • Practice Management / economics
  • Practice Management / organization & administration
  • Practice Patterns, Physicians' / statistics & numerical data
  • Societies, Medical*
  • Surveys and Questionnaires
  • United States