Bundle Payment for Musculoskeletal Care: Current Evidence (Part 1)

In the face of escalating costs and variations in quality of care, bundled payment models for total joint arthroplasty procedures are becoming increasingly common, both through the Centers for Medicare & Medicaid Services and private payer organizations. The effective implementation of these pay...

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Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 49; no. 2; p. 135
Main Authors Piccinin, Meghan A, Sayeed, Zain, Kozlowski, Ryan, Bobba, Vamsy, Knesek, David, Frush, Todd
Format Journal Article
LanguageEnglish
Published United States 01.04.2018
Subjects
Total knee arthroplasty
Total joint arthroplasty
Value-based care
Financial analysis
Bundle payments
BPCI
Bundled contracts
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Summary:In the face of escalating costs and variations in quality of care, bundled payment models for total joint arthroplasty procedures are becoming increasingly common, both through the Centers for Medicare & Medicaid Services and private payer organizations. The effective implementation of these payment models requires cooperation between multiple service providers to ensure economic viability without deterioration in care quality. This article introduces a stepwise model for the financial analysis of bundled contracts for use in negotiations between hospitals and private payer organizations.
ISSN:1558-1373
DOI:10.1016/j.ocl.2017.11.002