Hip and knee joint replacement surgery is one of the most frequently performed orthopedic surgeries among the U.S. population. With that in mind, UPMC Health Plan has established a Center of Excellence program for elective hip and knee joint replacement surgery to promote high quality outcomes for our members.
The UPMC Health Plan Hip and Knee Joint Replacement Surgery Center of Excellence program recognizes surgical facilities and orthopedic surgeons that demonstrate high quality outcomes, low complication rates, and best patient experience for Health Plan members in need of joint replacement surgery. Orthopedic surgeons and hospitals in this program have established patient-centric, evidence-based care pathways as well as an outcomes-based quality improvement program. Both hospitals and orthopedic surgeons must demonstrate a high performance level that results in an optimal patient experience throughout the entire care process—from presurgical consultation to postsurgical recovery and return to a functional lifestyle.
Have questions about the specifications of the standards and policy?
View our facility standards
View our provider standards
View our policy
Have questions about patient eligibility?
View our FAQ on patient eligibility for facilities
View our FAQ on patient eligibility for providers
Interested in becoming a Hip and Knee Joint Replacement Center of Excellence? Review our special credentialing standards and applications.
Facility Hip and Knee Joint Replacement Center of Excellence Application
Provider Hip and Knee Joint Replacement Center of Excellence Application
For questions about the program, call Provider Services at 1-866-918-1595 Monday through Friday from 8 a.m. to 5 p.m.