The Incision Point

The Incision Point

🔍 Research

Are Surgeons Working Less? The Truth About Outpatient Joint Replacements

A 7-year study breaks down exactly how much time your surgical team spends on your care.

Dr. Michael Meneghini's avatar
Dr. Michael Meneghini
Apr 02, 2026
∙ Paid

Total joint arthroplasty (TJA) is among the most successful of orthopedic procedures performed. However, the exponentially increased demand for TJA has imposed an enormous economic burden on the healthcare system, accounting for more Medicare expense than any other inpatient procedure. Not surprisingly, cost containment has become a focus of policy and research in TJA.

Recently, the Centers for Medicare and Medicaid Services (CMS) asked the American Medical Association to re-evaluate the appropriateness of the relative value units (RVU) assigned to primary hip and knee replacements because average surgical times were dropping.

Nationally, many patients are undergoing early discharge primary TJA, with optimization occurring prior to surgery. But does an efficient, outpatient surgery mean the clinical team is doing less work?

Subscribe to help me disrupt the current status quo in our broken healthcare system… and to access my 20+ years of medical research.

User's avatar

Continue reading this post for free, courtesy of Dr. Michael Meneghini.

Or purchase a paid subscription.
© 2026 Michael Meneghini · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture