FOTO Rehab Outcomes

Transitioning to a Total Joint Arthroplasty Bundled Payment Program

More hospital systems will be involved in bundled payments for total joint arthroplasties.  Medicare currently has a bundled payment program for joint arthroplasties. Private payers will also be changing their payment models to potentially include an alternative payment model for joint arthroplasties.

This article focuses on how a private institution transitioned into a bundled payment model. Hopefully the full text provides details that will help you learn ways to negotiate and also be efficient in this type of payment model.

Below you will find a quick view of the abstract. 

total-joint-arthroplasty-bundled-payment

Private Bundles: The Nuances of Contracting and Managing Total Joint Arthroplasty Episodes.

 

Abstract

In recent years, bundled payment reimbursement models have been used to address the unsustainable rising cost of healthcare. Centers for Medicare and Medicaid Services initiatives, such as Bundled Payment for Care Improvement Program, have already demonstrated their ability to create financial and performance accountability in the public sector. More recently, these value-based models have been introduced among private payers to increase coordination, quality, and efficiency. Bundled payment strategies provide incentives for physicians and healthcare professionals to eliminate unnecessary services and reduce costs. This article discusses our experience at a private institution with transitioning to a bundled payment program, while identifying the challenges and strategies associated with a successful implementation.

2017 Jun;32(6):1720-1722. doi: 10.1016/j.arth.2017.02.018. Epub 2017 Feb 16.

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