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J Am Acad Orthop Surg, Vol 15, No 2, February 2007, 76-86.
© 2007 the American Academy of Orthopaedic Surgeons
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Current Issues in Health Policy: A Primer for the Orthopaedic Surgeon

Alok Sharan D., MD, James Genuario, MD, Samir Mehta, MD, Sharat Kusuma, MD, Anil Ranawat, MD, Ryan Nunley, MD and Stuart L. Weinstein, MD

Dr. Sharan is 2005-2006 AAOS Health Policy Fellow and Assistant Professor, Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Dr. Genuario is 2005-2006 AAOS Health Policy Fellow and Orthopaedic Resident, Dartmouth Medical Center, Lebanon, NH. Dr. Mehta is 2003-2004 AAOS Health Policy Fellow and Orthopaedic Trauma Fellow, University of Washington–Harborview, Seattle, WA. Dr. Kusuma is 2004-2005 AAOS Health Policy Fellow and Orthopaedic Resident, University of Pennsylvania, Philadelphia, PA. Dr. Ranawat is 2006-2007 AAOS Health Policy Fellow and Sports Medicine Fellow, University of Pittsburgh, Pittsburgh, PA. Dr. Nunley is 2006-2007 AAOS Health Policy Fellow and Orthopaedic Resident, Washington University, St. Louis, MO. Dr. Weinstein is AAOS Immediate Past President and Ignacio V. Ponseti Professor of Orthopaedic Surgery, Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA.

Reprint requests: Dr. Sharan, 1695 Eastchester Road, Second Floor, Bronx, NY 10461.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Sharan, Dr. Genuario, Dr. Mehta, Dr. Kusuma, Dr. Ranawat, Dr. Nunley, and Dr. Weinstein.

Political, social, and economic forces occupy an increasingly larger role in health care. It is essential that orthopaedic surgeons become familiar with the ever-changing landscape within which they practice. Greater comprehension of the current issues in health policy will enable practitioners to appreciate these issues and understand the importance of the involvement of the AAOS in the political process. Five topics in particular will continue to have a great impact on the practice of orthopaedic surgery: the flawed Medicare payment formula, implementation of a pay-for-performance program, the creation of gainsharing agreements between hospitals and physicians, the medical liability crisis, and the importance of advocacy with the political action committee of the AAOS.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.