Bundled Payments: Our Experience at an Academic Medical Center

Background The landscape of healthcare 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 BPCI model of value based purchasing. Results We decreased patient lengt...

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Bibliographic Details
Published in:The Journal of arthroplasty 2016-05, Vol.31 (5), p.932-935
Main Authors: Bolz, Nicholas, BS, Iorio, Richard, M.D
Format: Article
Language:English
Subjects:
Academic Medical Centers - economics
Arthroplasty - economics
Bundled Payment for Care Improvement
Comprehensive Care for Joint Replacement
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
Orthopedics
Patient Care Bundles - economics
Patient Discharge
Patient Readmission
Perioperative Orthopaedic Surgery Home model
Quality of Health Care
readmission risk assessment tool
Retrospective Studies
Risk Factors
value-based purchasing
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Summary:Background The landscape of healthcare 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 BPCI model of value based purchasing. Results We decreased patient length of stay, discharge to inpatient facilities and the cost of an episode of patient care. Conclusion The bundled care payment initiative has been successfully implemented for DRG-469 and 470, delivering high quality patient care at a reduced price.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2016.01.055