Wu VJ, et al. - A contemporary nationwide cohort was conducted to compare and quantify the changes between the preoperative profile and clinical outcomes of total hip arthroplasty (THA) conducted for elective indications and for femoral neck fractures. Researchers queried patient records between 2007 and 2017 from an administrative claims database of privately insured patients comparing THA performed for femoral neck fractures vs elective indications. They obtained and compared ninety-day readmission rates as well as in-hospital and 90-day postdischarge rates of local and systemic complications with multivariate logistic regression. The outcomes of these evidence may have significance in growing care coordination and serve evidence for future risk adjustment in payment models. Results reveal that compared with elective patients, leaders in advocacy and policy should consider patient-level risk adjustments within alternative payment models to account for the increased correlation of complications, length of stay, readmission rate, and comorbidities in fracture patients receiving THA.