Bundled Payment in Total Joint Care: Survey of AAHKS Membership Attitudes and Experience with Alternative Payment Models

被引：72

作者：

Kamath, Atul F. ^{[1
]}

Courtney, Paul M. ^{[1
]}

Bozic, Kevin J. ^{[2
]}

Mehta, Samir ^{[3
]}

Parsley, Brian S. ^{[4
]}

Froimson, Mark I. ^{[5
]}

机构：

[1] Penn Hosp, Dept Orthoped Surg, Philadelphia, PA 19107 USA

[2] Univ Texas Austin, Dept Surg & Perioperat Care, Dell Med Sch, Austin, TX 78712 USA

[3] Hosp Univ Penn, Dept Orthoped Surg, Philadelphia, PA 19104 USA

[4] Houston Methodist Hosp, Dept Orthoped Surg, Houston, TX USA

[5] Trinity Hlth Unified Clin Org, Trinity Hlth, Livonia, MI USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 12期

关键词：

alternative payment models; bundled payments; episodes of care; total joint arthroplasty; membership survey; healthcare value; TOTAL KNEE ARTHROPLASTY; AMERICAN ASSOCIATION; HIP; IMPROVEMENT; ECONOMICS; VOLUME; COST;

D O I：

10.1016/j.arth.2015.05.036

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 goal of alternative payment models (APMs), particularly bundling of payments in total joint arthroplasty (TJA), is to incentivize physicians, hospitals, and payers to deliver quality care at lower cost. To study the effect of APMs on the field of adult reconstruction, we conducted a survey of AAHKS members using an electronic questionnaire format. Of the respondents, 61% are planning to or participate in an APM. 45% of respondents feel that a bundled payment system will be the most effective model to improve quality and to reduce costs. Common concerns were disincentives to operate on high-risk patients (94%) and uncertainty about revenue sharing (79%). While many members feel that APMs may improve value in TJA, surgeons continue to have reservations about implementation. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：2045 / 2056

页数：12

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