High-volume spine surgery center costs and resource utilization: a database study of 142,617 Medicare claims in 2019
Increased hospital volume was independently associated with lower costs, shorter LOS, and decreased risk of nonhome discharge after elective inpatient spine surgery. High-volume centers might benefit from economies of scale and lean methodology practices that should be studied to improve value on a national level. Small and medium hospitals could be disproportionately impacted by declining Medicare reimbursements. Further study is necessary to provide fair reimbursement adjustments as bundled payments for spine surgery are introduced.
Authors
- Jerry Y. Du (ORCID: https://orcid.org/0000-0001-8309-0176)
- Karim Shafi (ORCID: https://orcid.org/0000-0002-6695-5593)
- Collin W. Blackburn (ORCID: https://orcid.org/0000-0002-1083-2877)
- Mitchell A. Johnson (ORCID: https://orcid.org/0000-0002-0241-849X)
- Sravisht Iyer
- Randall E. Marcus
- Sheeraz A. Qureshi
- Francis Lovecchio
- Todd J. Albert
- Rujvee P. Patel
- Rajiv K. Sethi
- Han Jo Kim
Institutions
- Hospital for Special Surgery (US)
- University Hospitals of Cleveland (US)
- Franciscan Health (US)
- University Hospitals Cleveland Medical Center (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-12-19
- DOI
- https://doi.org/10.3171/2025.8.spine241588
- Primary Topic
- Total Knee Arthroplasty Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00