title: Bundled Payments: Our Experience at an Academic Medical Center.
abstract: The landscape of health care is transitioning from a fee-for-service model to value-based purchasing.
  
  
  
  We developed evidence-based clinical pathways and risk stratification measures to effectively implement the Bundled Payments for Care Improvement model of value-based purchasing.
  
  
  
  We decreased patients' length of stay, discharge to inpatient facilities, and cost of an episode of patient care.
  
  
  
  The bundled care payment initiative has been successfully implemented for Diagnosis Related Groups 469 and 470, delivering high-quality patient care at a reduced price.
authors.affiliation: Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, New York.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Bolz
authors.affiliation: Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, New York.
authors.forename: Richard
authors.initials: R
authors.lastname: Iorio
mesh_terms: D000046:Academic Medical Centers / Q000191:economics*; D001178:Arthroplasty / Q000191:economics; D003695:Delivery of Health Care; D003953:Diagnosis-Related Groups; D019317:Evidence-Based Medicine; D018588:Fee-for-Service Plans; D005102:Health Expenditures; D006801:Humans; D007592:Joint Diseases / Q000191:economics / Q000601:surgery; D007902:Length of Stay; D009518:New York; D064872:Patient Care Bundles / Q000191:economics*; D010351:Patient Discharge; D010359:Patient Readmission; D011787:Quality of Health Care; D012189:Retrospective Studies; D012307:Risk Factors
keywords: Bundled Payment for Care Improvement; Comprehensive Care for Joint Replacement; Perioperative Orthopaedic Surgery Home model; readmission risk assessment tool; value-based purchasing