JBJS | AOA Symposium: Gainsharing in Orthopaedics: Passing Fancy or Wave of the Future?*

The Journal of Bone & Joint Surgery, Volume 89, Issue 9

The Orthopaedic Forum | September 01, 2007

AOA Symposium: Gainsharing in Orthopaedics: Passing Fancy or Wave of the Future?*

Douglas R. Dirschl, MD¹; Joane Goodroe²; D. McCarty Thornton³; Gary W. Eiland⁴

¹ Department of Orthopaedics, University of North Carolina, CB#7055, 3147 Bioinformatics Building, Chapel Hill, NC 27599-7055. E-mail address: dirschld@med.unc.edu
² Goodroe Healthcare Solutions, LLC, 3091 Governor's Lake Drive, Suite 299, Norcross, GA 30071. E-mail address: jgoodroe@goodroe.com
³ Sonnenschein Nath and Rosenthal, LLP, 1301 K Street N.W., Suite 600, East Tower, Washington, DC 20005. E-mail address: mthornton@sonnenschein.com
⁴ Vinson and Elkins, LLP, First City Tower, 1001 Fannin, Suite 2500, Houston, TX 77002-6760. E-mail address: geiland@velaw.com

The Journal of Bone & Joint Surgery. 2007; 89:2075-2083 doi:10.2106/JBJS.F.01342

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Gainsharing agreements between physicians and health-care institutions have received increasing amounts of attention in recent years1-5. Many have advocated that gainsharing arrangements are effective ways to align incentives for physicians and health-care institutions to decrease health-care expenditures3,4,6-8. One of the most difficult aspects of understanding this topic is that the term "gainsharing" has not been defined with precision. An example of the sort of imprecise definitions that have been published include the definition of gainsharing as "an arrangement in which hospitals and physicians share in any cost savings achieved through greater efficiencies and physicians' efforts."3

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Topics

patient referral ; quality of care ; health care financing administration ; cost savings ; fees and charges ; hospital costs ; medicare ; models, economic ; perception ; philosophy

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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