Bundled Payments: Our Experience at an Academic Medical Center

Nicholas J Bolz; Richard Iorio

doi:10.1016/j.arth.2016.01.055

Bundled Payments: Our Experience at an Academic Medical Center

J Arthroplasty. 2016 May;31(5):932-5. doi: 10.1016/j.arth.2016.01.055. Epub 2016 Mar 2.

Authors

Nicholas J Bolz¹, Richard Iorio¹

Affiliation

¹ Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, New York.

PMID: 27020651
DOI: 10.1016/j.arth.2016.01.055

Abstract

Background: The landscape of health care is transitioning from a fee-for-service model to value-based purchasing.

Methods: We developed evidence-based clinical pathways and risk stratification measures to effectively implement the Bundled Payments for Care Improvement model of value-based purchasing.

Results: We decreased patients' length of stay, discharge to inpatient facilities, and cost of an episode of patient care.

Conclusion: The bundled care payment initiative has been successfully implemented for Diagnosis Related Groups 469 and 470, delivering high-quality patient care at a reduced price.

Keywords: Bundled Payment for Care Improvement; Comprehensive Care for Joint Replacement; Perioperative Orthopaedic Surgery Home model; readmission risk assessment tool; value-based purchasing.

MeSH terms

Academic Medical Centers / economics*
Arthroplasty / economics
Delivery of Health Care
Diagnosis-Related Groups*
Evidence-Based Medicine
Fee-for-Service Plans*
Health Expenditures*
Humans
Joint Diseases / economics
Joint Diseases / surgery
Length of Stay
New York
Patient Care Bundles / economics*
Patient Discharge
Patient Readmission
Quality of Health Care
Retrospective Studies
Risk Factors