The 2026 Shift

Site of Care Migration
🏥
Inpatient
Hospital Volume Falling
285 Procedures Unlocked
2026 PIVOT
🏢
Outpatient
ASC Volume Rising

Total Hip Arthroplasty (THA)

2019
62%
27%
11%
2023
8%
62%
30%

Total Knee Arthroplasty (TKA)

2019
54%
46%
2023
6%
83%
11%

Total Shoulder Arthroplasty (TSA)

2019
97%
3%
2023
62%
28%
10%
INPATIENT
OUTPATIENT (HOPD)
ASC

Rule Shift

From Policy-Driven site of care to Efficiency-Driven economics.

The Trigger

CMS phase-out of the IPO list removes the financial barrier for 285 MSK cases.

Intelligence

Static hospital lists are now obsolete. Tracking Claims Data is the only way to win.

285

New Procedures Unlocked in 2026

CMS phase-out removes the financial ceiling. High-margin orthopedic and cardiac cases are no longer anchored to hospital beds.