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Patients discharged the same day after undergoing total joint arthroplasty have shown to be private pay patients with excellent comorbidity profiles and stable discharge environments.

“Why are we doing [same-day surgery]? The patients we are seeing are more young, more active and more motivated to recover at home. They do not see themselves as sick patients. They think of themselves as highly functioning patients who want to come in and improve their quality of life even further by having their pain in their hip or knee go away,” James Slover, MD, said at the Interdisciplinary Conference on Orthopedic Value-Based Care.

In addition, surgeons want to have control over the process, which they can do better when the patients are at home.

“As we look at value-based care, the economics of these alternative payment methods are putting increased pressure on us for profitability of these joint replacement procedures. The transition for more outpatient procedures is going to be difficult, but it is driven by this. If we can do this more efficiently, maintain the quality and safety, then it is going to be a good thing for a value-based system,” Slover said.

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