title: Health Care Reform: Impact on Total Joint Replacement.
abstract: The US health care system has been fragmented for more than 40 years; this model created a need for modification. Sociopoliticomedical system-related factors led to the Affordable Care Act (ACA) and a restructuring of health care provision/delivery. The ACA increases access to high-quality "affordable care" under cost-effective measures. This article provides a comprehensive review of health reform and the motivating factors that drive policy to empower arthroplasty providers to effectively advocate for the field of orthopedics as a whole, and the patients served.
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Monique C
authors.initials: MC
authors.lastname: Chambers
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Mouhanad M
authors.initials: MM
authors.lastname: El-Othmani
authors.affiliation: Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
mesh_terms: D019643:Arthroplasty, Replacement / Q000191:economics*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D058991:Patient Protection and Affordable Care Act / Q000191:economics*; D014481:United States
keywords: ACA; CMS; Health care reform; MACRA; MIPS; Quality care; TJA