Rapid Recovery Programs in Arthroplasty

The implementation of rapid recovery programs is the result of continuing efforts to achieve a shorter convalescing and faster “return-to-life” leading to higher quality and increased cost-effectiveness. The current traditional payment system stifles efficiency and the implementation of these programs. These payment systems incentivize “slowness” and longer lengths-of-stay. The reduction in LOS seen in the last 10 years has been partly responsible for the reimbursement reduction surgeons have seen in the last decade. New payment systems are being developed; if properly implemented, they have the ability to even the playing field for the surgeons. The devil however is in the details; these innovative models also have the potential to give the surgeons more responsibility and headaches with a very small increase in compensation.