Joint replacement post-acute care: Preop PT cuts costs 29% — 5 things to know

A study published in the Journal of Bone and Joint Surgery examines the healthcare costs associated with acute care when patients have preoperative physical therapy.

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The researchers examined 4,733 hip or knee replacement cases within a 39-county Medicare hospital referral cluster. The researchers found:

•    77 percent of patients used post-acute care services after surgery.
•    54.2 percent of the patient who underwent preoperative physical therapy used post-acute care services.
•    79.7 percent of patients who didn’t undergo preoperative physical therapy used post-acute care services.
•    Preoperative physical therapy was associated with 29 percent post-acute care reduction when adjusting for demographics and comorbidities.
•    Preoperative physical therapy was associated with an $871 reduction in the episode payment, largely driven by the skilled nursing facility, home health agency and inpatient rehabilitation payments.

The average skilled nursing facility payments were $1,093, home health agency patients were $527 and the inpatient rehabilitation was $172.

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