Dr. Charles Bush-Joseph’s thoughts on orthopedics in the future

By Mary Rechtoris

Charles Bush- Joseph, MD, an orthopedic surgeon at Midwest Orthopaedics at Rush in Chicago, discusses reimbursement for outpatient orthopedic surgery and where independent practice is headed in the future.

Question: How has reimbursement changed for orthopedic surgery in ASCs over the past five years? Where do you see it headed over the next five years?

Dr. Charles Bush-Joseph: We’ve seen downward pressure from most commercial payers and an exclusively case-rate approach as opposed to itemized billing for surgical facility and equipment fees.

Q: What are the biggest opportunities for orthopedic surgeons to get involved in new practice and payment models to stay independent in the future?


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