VYA-only inpatient list changes impact racial and ethnic health disparities
April 29, 2022
1 minute watch
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Disclosures:
Lajam claims to be an employee of Pfizer; to the editorial or management committee of Clinical orthopedics and related research, HJD Newsletter and Arthroplasty Diary; and board or committee member of the American Academy of Orthopedic Surgeons and the American Association of Hip and Knee Surgeons.
CHICAGO – In this video from the annual meeting of the American Academy of Orthopedic Surgeons, Claudette M. Lajam, MD, discussed the impact of changes to the inpatient only list on patients of different racial and ethnic backgrounds.
“What we found was that changes to the inpatient-only roster were correlated with increases in outpatient total joint replacements for everyone, but black patients and Hispanic patients lagged significantly behind the inpatient roster. adoption of outpatient status,” she said.
“Ultimately, when facilities are financially penalized for spending more money on patient care, it impacts access to care. When regulatory changes do not take into account that there are racial and ethnic differences in the adoption of changes, we must pay particular attention to this,” added Lajam. “What we don’t want is for payers to see the costs go up and not build it into payment plans because that will leave a whole group of patients out of the miracle that is a joint replacement.”
