It Is a Brave New World: Alternative Payment Models and Value Creation in Total Joint Arthroplasty: Creating Value for TJR, Quality and Cost-Effectiveness Programs.
The increasing cost of our country's healthcare is not sustainable. To address this crisis, the federal government is transiting healthcare reimbursement from the traditional volume-based system to a value-based system. As such, increasing healthcare value has become an essential point of discussion for all healthcare stakeholders.



The purpose of this study is to discuss the importance of healthcare value as a means to achieve this goal of value-based medicine and 3 methods to create value in total joint arthroplasty.



These methods are to: (1) improve outcomes greater than the increased costs to achieve this improvement, (2) decrease costs without affecting outcomes, and (3) decrease costs while simultaneously improving outcomes.



Following these guidelines will help practitioners thrive in a bundled care environment.
Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
Kevin K
KK
Chen
Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
Jonathan H
JH
Harty
Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
Joseph A
JA
Bosco
D019643:Arthroplasty, Replacement / Q000191:economics* / Q000592:standards*; D019645:Arthroplasty, Replacement, Knee / Q000191:economics; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care; D005102:Health Expenditures; D006801:Humans; D064872:Patient Care Bundles / Q000191:economics; D011787:Quality of Health Care
alternative payment models; total hip arthroplasty; total joint arthroplasty; total knee arthroplasty; value