Dual-eligible Medicare–Medicaid status is associated with lower surgeon reimbursement despite greater medical and psychosocial complexity in total shoulder arthroplasty
Steven G Persaud, Colin C Neitzke, Simon Ortiz, Michael C Fu, Samuel A Taylor, Joshua S Dines, Gabriella E Ode, David M Dines, Lawrence V Gulotta, Christopher M Brusalis · 2026
Read Dual-eligible Medicare–Medicaid status is associated with lower surgeon reimbursement despite greater medical and psychosocial complexity in total shoulder arthroplasty by Steven G Persaud, Colin C Neitzke, Simon Ortiz, Michael C Fu, Samuel A Taylor, Joshua S Dines, Gabriella E Ode, David M Dines, Lawrence V Gulotta, Christopher M Brusalis (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13676197.txt.
Description
Steven Persaud and co-authors examine, in a 2026 study, pay gaps in shoulder replacement surgery tied to patients' insurance status. Patients covered by both Medicare and Medicaid tend to carry heavier medical and social burdens. The team asked whether surgeons whose panels hold more of these patients get paid less.
Working from a public 2023 federal file on doctors' payments, the authors found surgeons who perform this operation. They linked each surgeon's share of dual-covered patients with standard Medicare pay rates. The title gives the core finding: a higher share went with lower pay, despite greater patient complexity. Results like these fuel debate about whether pay formulas punish doctors who serve the poorest patients.
Catalog record
| CREATOR | Steven G Persaud, Colin C Neitzke, Simon Ortiz, Michael C Fu, Samuel A Taylor, Joshua S Dines, Gabriella E Ode, David M Dines, Lawrence V Gulotta, Christopher M Brusalis |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |