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Payor Reform Opportunities for Spine Surgery: Part II: The Potential Emergence of Population Health. | LitMetric

AI Article Synopsis

  • There is increasing pressure for spine surgery to adopt value-based reimbursement models, leading to more bundled payment strategies, which connect payments to specific surgical episodes.
  • Although these bundled payment models aim to reduce costs, they still incentivize the volume of services provided rather than overall value.
  • As payors and policymakers focus on reducing waste and care variation, spine surgery is becoming a key target for comprehensive population health strategies, requiring surgeons to adapt and optimize their performance.

Article Abstract

The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financial incentives remain tied to the volume of services being provided. As payors and policy makers look to find savings by focusing on waste and variation of care, more comprehensive models such population health strategies are now being develop and deployed. The clinical delivery and cost variation currently seen in spine health management make spine surgery an acute target of such population health strategies. Spine surgeons should understand the forces driving such changes and the opportunities to optimize performance within them.

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Source
http://dx.doi.org/10.1097/BSD.0000000000000568DOI Listing

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