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Updated: May 16, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Cost analysis in shoulder arthroplasty surgery.

Matthew J Teusink1, Nazeem A Virani, John A Polikandriotis

  • 1Shoulder and Elbow Services, Florida Orthopaedic Institute, 13020 N. Telecom Parkway, Tampa, FL 33637, USA.

Advances in Orthopedics
|December 18, 2012
PubMed
Summary

Shoulder surgery costs are under scrutiny due to healthcare reform. Developing methods to track costs and outcomes in shoulder arthroplasty is crucial for bundled payment models and Accountable Care Organizations (ACOs).

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Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Healthcare Policy

Background:

  • The Patient Protection and Affordable Care Act introduced Accountable Care Organizations (ACOs) and bundled payments.
  • Shoulder arthroplasty is a reproducible procedure suitable for bundled payment models.
  • Current research lacks methods for surgeons to determine costs and outcomes in shoulder surgery.

Purpose of the Study:

  • To highlight the need for cost and outcome analysis in shoulder arthroplasty.
  • To emphasize the importance of developing a methodology for cost determination in bundled payments for shoulder surgery.
  • To position surgeons as leaders in Accountable Care Organizations (ACOs).

Main Methods:

  • Literature review on healthcare policy and cost analysis in orthopedic surgery.

Related Experiment Videos

Last Updated: May 16, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

  • Analysis of the implications of bundled payment models on shoulder arthroplasty.
  • Discussion of the requirements for surgeons to lead ACO initiatives.

    • Main Results:

    • There is limited research on the cost of shoulder arthroplasty.
    • Existing analyses do not equip surgeons with tools to assess intervention costs and outcomes.
    • A methodology for determining accurate costs and outcomes is needed for bundled payment success.

    Conclusions:

    • Shoulder arthroplasty is well-suited for bundled payment initiatives.
    • Surgeons require a framework to accurately assess costs and outcomes for bundled payments.
    • Developing such a methodology is essential for surgeons to lead in Accountable Care Organizations (ACOs).