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Planned knee and hip replacement surgeries are on the rise in the U.S.

January 23, 2019 – At more than $54 billion, spending to treat all orthopedic pain conditions (including pain in the muscles, bones and joints) represents more than 14 percent of overall healthcare spending for commercially insured adult Blue Cross Blue Shield (BCBS) members.1,2 This report identifies trends in cost and quality of care for elective or planned orthopedic surgical procedures (specifically total and partial knee replacements and total hip replacements) by examining the medical claims of BCBS commercially insured members from 2010 through 2017.3 This report is based on analysis of data from Blue Cross Blue Shield Axis® (BCBS Axis), the largest collection of commercial insurance claims data in the U.S. BCBS Axis was completed in 2015 to support cost transparency and data-driven decision making. Cost transparency is key for patients to work with their doctor to compare and consider the best setting of care (whether inpatient or outpatient) and specific facility for these planned procedures. Read more