Currently, a total of 4.5 and 6.7 million people are living with hip and knee implants in the US respectively, which is approximately 1.5 times more than the number of people living with heart failure. In addition, at present, more than 99% of implants in the United States are coming from five major manufacturers in fixed sizes and shapes while patient-matched implants are only being used in critical cases or by enthusiastic surgeons. Given the 673% projected growth for the number of patients needing knee replacement by 2030, there will be approximately 3.5 million patients in need of primary TKA each year by that time. Therefore, substantial obstacles could be generated for managing healthcare services, especially for primary and revision TKA procedures. Considering some of the benefits of using patient-matched over fixed size implants such as: reduction in surgery time and tissues removal during the procedure, improvement in patient satisfaction, quality of life, and reduction in recovery time and residual pain after the procedure, illuminates the need for efficient strategies to maximize the value of TKA treatments. This presentation will explore how different health insurance policies influence levels of off-the-shelf implant vendors and the impact on patients who have undergone knee implant surgery, identify the fluctuation in adoption rate of patient-matched knee implants under the varying coverage of different insurance policies, and considerations for patient-matched implants and the potential to improve patient outcome while reducing the total cost of healthcare.
- Understand how different health insurance policies influence the number of off-the-shelf implant vendors in a health institution; impacting the overall outcome of patients who have undergone knee implant surgery.
- Describe how different health insurance policies and influence of implant vendors impact the total cost of the knee implant process.
- Identify the fluctuation in adoption rate of patient-specific knee implants under varying coverage of different insurance policies.