title: Implementation of Bundled Payment Initiatives for Total Joint Arthroplasty: Decreasing Cost and Increasing Quality.
abstract: Although the Bundled Payments for Care Improvement (BPCI) Initiative began generating data in January 2013, it may be years before the data can determine if the BPCI Initiative enhances value without decreasing quality. Private insurers have implemented other bundled payment arrangements for the delivery of total joint arthroplasty in a variety of practice settings. It is important for surgeons to review the early results of the BPCI Initiative and other bundled payment arrangements to understand the challenges and benefits of healthcare delivery systems with respect to total joint arthroplasty. In addition, surgeons should understand methods of cost control and quality improvement to determine the effect of the BPCI Initiative on the value-quality equation with respect to total joint arthroplasty.
authors.affiliation: Adult Reconstruction Research Fellow, Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
authors.forename: James P
authors.initials: JP
authors.lastname: Doran
authors.forename: Alan H
authors.initials: AH
authors.lastname: Beyer
authors.forename: Joseph
authors.initials: J
authors.lastname: Bosco
authors.forename: Peggy L
authors.initials: PL
authors.lastname: Naas
authors.forename: Brian S
authors.initials: BS
authors.lastname: Parsley
authors.forename: James
authors.initials: J
authors.lastname: Slover
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Zabinski
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Zuckerman
authors.forename: Richard
authors.initials: R
authors.lastname: Iorio
mesh_terms: D019643:Arthroplasty, Replacement / Q000191:economics / Q000379:methods; D003363:Cost Control / Q000379:methods*; D006801:Humans; D007349:Insurance, Health, Reimbursement; D006278:Medicare / Q000191:economics; D064872:Patient Care Bundles / Q000191:economics*; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods*; D014481:United States