title: Can bundled payment improve quality and efficiency of care for patients with hip fractures?
abstract: The current Medicare reimbursement for hip fractures lacks accountability and promotes cost cutting. A bundled payment system-analogous to the Medicare Acute Care Episodes Demonstration for Orthopedic and Cardiovascular Surgery-may help curtail costs, foster communication among health care providers, and improve their accountability for patient outcomes. In hip fracture care, bundled payment may spur development of multidisciplinary best practice guidelines, quality assessment, and reporting, and result in benchmarking and best practices sharing. However, its implementation may face challenges: the need for quality assessment criteria and risk adjustment methods and possible risks of pushing costs outside of Medicare boundaries.
authors.affiliation: a Eli Lilly & Company , Indianapolis , Indiana , USA.
authors.forename: Evgeniya
authors.initials: E
authors.lastname: Antonova
authors.forename: Mark E
authors.initials: ME
authors.lastname: Boye
authors.forename: Namrata
authors.initials: N
authors.lastname: Sen
authors.forename: Amy K
authors.initials: AK
authors.lastname: O'Sullivan
authors.forename: Russel
authors.initials: R
authors.lastname: Burge
mesh_terms: D003695:Delivery of Health Care / Q000191:economics; D019317:Evidence-Based Medicine; D006620:Hip Fractures / Q000628:therapy; D006801:Humans; D006278:Medicare / Q000191:economics*; D058991:Patient Protection and Affordable Care Act; D058996:Quality Improvement; D011787:Quality of Health Care / Q000191:economics*; D012051:Reimbursement Mechanisms / Q000191:economics*; D020379:Risk Adjustment; D014481:United States
keywords: bundled payment; financing; hip fracture; reimbursement