title: Private Bundles: The Nuances of Contracting and Managing Total Joint Arthroplasty Episodes.
abstract: In recent years, bundled payment reimbursement models have been used to address the unsustainable rising cost of healthcare. Centers for Medicare and Medicaid Services initiatives, such as Bundled Payment for Care Improvement Program, have already demonstrated their ability to create financial and performance accountability in the public sector. More recently, these value-based models have been introduced among private payers to increase coordination, quality, and efficiency. Bundled payment strategies provide incentives for physicians and healthcare professionals to eliminate unnecessary services and reduce costs. This article discusses our experience at a private institution with transitioning to a bundled payment program, while identifying the challenges and strategies associated with a successful implementation.
authors.affiliation: Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
authors.forename: Ameer M
authors.initials: AM
authors.lastname: Elbuluk
authors.affiliation: Department of Orthopaedic Surgery, Twin Cities Orthopedics, Minneapolis, Minnesota.
authors.forename: Owen R
authors.initials: OR
authors.lastname: O'Neill
mesh_terms: D019643:Arthroplasty, Replacement / Q000191:economics*; D014487:Centers for Medicare and Medicaid Services, U.S.; D003695:Delivery of Health Care / Q000191:economics; D005102:Health Expenditures; D006801:Humans; D006278:Medicare / Q000191:economics; D064872:Patient Care Bundles; D014481:United States
keywords: alternative payment models; commercial bundle; pay for performance; private sector; value based care