Seismic shift to the outpatient setting…

Over the last 20 years, total joint replacement surgery has undergone a significant evolution. In the early 2000’s, it was common practice for patients to remain in the hospital for 4–5 days after surgery and then to be discharged to a skilled nursing facility for up to 1–3 weeks. Today, patients are routinely discharged directly home only 3–4 hours post-procedure without any added risk, and often at a fraction of the cost compared with those incurred in a traditional inpatient setting.

Providers have led the charge out of the hospital and into the outpatient setting through advances in surgical approaches, anesthesia and pain management protocols, and patient education and selection. Patients, payors, and employers have taken note of this seismic shift in the market due in large part to heightened levels of price transparency, episode of care alignment, and overall cost savings.

Outpatient Graph
From 2012-2015, outpatient total joints grew 47% and are expected to grow 77% over the next 10 years while inpatient total joints will grow only 3%.

Number of Primary Total Joints, US Market, 2016–2026

Beginning in 2020, the Centers for Medicare & Medicaid Services (CMS) will begin paying for total knees performed at ambulatory surgical centers (ASC) and it is widely assumed that with the removal of total hips from the inpatient only list, THR approval into the ASC will occur only the following year.

According to one study’s findings, over 70% of all 3,444 patients undergoing TJA were eligible for the ASC, including one-third of ASA class 3 patients. It is for these reasons and incentives that most expectations are that outpatient TJA procedures will outweigh inpatient procedures in only a few years.1

Additionally, it is expected that payors will begin requiring providers to justify procedures performed in the inpatient setting in an effort to rein in costs.

Medical Education

ASC Medical Education

Designed to provide surgeons and their support team with all of the opportunities and resources needed for building a successful outpatient program.

  • Site Observations Visits
  • MicroPort On-site Surgeon Visit
  • Regional Dinner and Cadaveric Trainings

Online Educational Resources

Educational webinars and other valuable digital content and access to recorded presentations on building outpatient programs.

Osso VR

The leading, virtual reality surgical training & assessment platform

Osso VR’s technology offers objective assessment and review of technical skill data to give proficiency insight and maximize patient outcomes.

Request attendance to an ASC Training Event Today


Every patient is different, and individual results will vary. There are risks and recovery times associated with surgery.

These surgeons are paid consultants for MicroPort Orthopedics. The opinions expressed are theirs alone and do not necessarily reflect the opinions of MicroPort Orthopedics Inc.

  • References
    1. Vizient, “Outpatient Joint Replacement – An Unnecessary Concern or Market Reality”