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Bundled payments in total joint arthroplasty and spine surgery. | LitMetric

Bundled payments in total joint arthroplasty and spine surgery.

Curr Rev Musculoskelet Med

Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.

Published: June 2017

AI Article Synopsis

  • The manuscript reviews bundled payment models for joint replacement and spine procedures, analyzing their benefits and drawbacks.
  • In some patient groups, these models can cut costs while still delivering good results, but there's scant research on more complicated cases, particularly in older patients with serious conditions.
  • For successful implementation, healthcare systems need to clearly outline which services are included in these bundled payments and carefully assess any adjustments to the models before applying them to higher-risk patients.

Article Abstract

Purpose Of Review: The goal of this manuscript is to provide an overview and analysis of bundled payment models for joint replacement and select spine procedures. Advantages and disadvantages of bundled payment models will be discussed.

Recent Findings: In select populations, bundled payment models have been shown to reduce costs while maintaining satisfactory outcomes. These models have not been tested with complex patient cohorts, such as older adults with fragility hip fractures, and limited data exist with bundled payment analysis in spine procedures. The reduction of healthcare costs, satisfactory patient outcomes, and favorable payments to healthcare systems can be achieved through bundled payments. Modifications of existing bundled payment models should be critically tested prior to implementation across higher risk populations. Bundled payment models will also require healthcare systems to define what services are necessary for an episode of care regarding a specific condition or disease.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435636PMC
http://dx.doi.org/10.1007/s12178-017-9405-8DOI Listing

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