Bundled Payments for Care Improvement Initiative: The Next Evolution of Payment Formulations AAHKS Bundled Payment Task Force

被引：132

作者：

Froimson, Mark I. ^{[1
]}

Rana, Adam ^{[2
]}

White, Richard E., Jr. ^{[3
]}

Marshall, Amanda ^{[4
]}

Schutzer, Steve F. ^{[5
]}

Healy, William L. ^{[6
]}

Naas, Peggy ^{[7
]}

Daubert, Gail ^{[8
]}

Iorio, Richard ^{[9
]}

Parsley, Brian ^{[10
]}

机构：

[1] Cleveland Clin, Cleveland, OH 44106 USA

[2] Maine Med Ctr, Portland, ME 04102 USA

[3] New Mexico Ctr Joint Replacement Surg, Albuquerque, NM USA

[4] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[5] St Francis Hosp & Med Ctr, Hartford, CT USA

[6] Lahey Clin Fdn, Burlington, MA USA

[7] VHA, Minneapolis, MN USA

[8] ReedSmith, Washington, DC USA

[9] NYU, Hosp Joint Dis, Langone Med Ctr, New York, NY USA

[10] Baylor Coll Med, Houston, TX 77030 USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 08期

关键词：

bundled payment; arthroplasty; episode of care; Medicare; healthcare reform;

D O I：

10.1016/j.arth.2013.07.012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The Patient Protection and Affordable Care Act contains a number of provision for improving the delivery of healthcare in the United States, among the most impactful of which may be the call for modifications in the packaging of and payment for care that is bundled into episodes. The move away from fee for service payment models to payment for coordinated care delivered as comprehensive episodes is heralded as having great potential to enhance quality and reduce cost, thereby increasing the value of the care delivered. This effort builds on the prior experience around delivering care for arthroplasty under the Acute Care Episode Project and offers extensions and opportunities to modify the experience moving forward. Total hip and knee arthroplasties are viewed as ideal treatments to test the effectiveness of this payment model. Providers must learn the nuances of these modified care delivery concepts and evaluate whether their environment is conducive to success in this arena. This fundamental shift in payment for care offers both considerable risk and tremendous opportunity for physicians. Acquiring an understanding of the recent experience and the determinants of future success will best position orthopaedic surgeons to thrive in this new environment. Although this will remain a dynamic exercise for some time, early experience may enhance the chances for long term success, and physicians can rightfully lead the care delivery redesign process. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：157 / 165

页数：9

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