Private Bundles: The Nuances of Contracting and Managing Total Joint Arthroplasty Episodes |
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Authors: | Ameer M Elbuluk Owen R ONeill |
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Institution: | 1. Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York;2. Department of Orthopaedic Surgery, Twin Cities Orthopedics, Minneapolis, Minnesota |
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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. |
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Keywords: | value based care alternative payment models private sector pay for performance commercial bundle |
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