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.

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