title: Affordable Care Organizations and Bundled Pricing: A New Philosophy of Care.
abstract: Under the Patient Protection and Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services' Innovation was chartered to develop new models of health care delivery. The changes meant a drastic need to restructure the health care system. To minimize costs and optimize quality, new laws encourage continuity in health care delivery within an integrated system. Affordable care organizations provided a model of high-quality care while reducing costs. Bundled payments can have a substantial effect on the national expenditures. This article examines new developments in bundle payments, affordable care organizations, and gainsharing agreements as they pertain to arthroplasty.
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Barinaga
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Monique C
authors.initials: MC
authors.lastname: Chambers
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Mouhanad M
authors.initials: MM
authors.lastname: El-Othmani
authors.affiliation: Harvard T.H. Chan School of Public Health, Harvard University, 677 Huntington Ave, Boston, MA 02115, USA.
authors.forename: Richard B
authors.initials: RB
authors.lastname: Siegrist
authors.affiliation: Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
mesh_terms: D005102:Health Expenditures / Q000639:trends; D006801:Humans; D006278:Medicare / Q000191:economics; D009985:Orthopedics / Q000191:economics*; D058991:Patient Protection and Affordable Care Act / Q000191:economics*; D011787:Quality of Health Care / Q000458:organization & administration*; D014481:United States
keywords: ACOs; Bundle payments; Episode of care; Gainsharing; TJA