Private payer bundled payment arrangements

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• 作者：Ameer Elbuluk ; BA ; Joseph A. Bosco ; MD ; ^{joseph.bosco@nyumc.org}
• 关键词：Bundled payment ; Commercial bundle ; Total joint arthroplasty ; Alternative payment models ; Value based care ; Acute care episode ; Private bundle
• 刊名：Seminars in Arthroplasty
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：27
• 期：3
• 页码：201-206
• 全文大小：373 K
• 卷排序：27

文摘

In 2015, the Centers for Medicare & Medicaid Services (CMS) began a mandatory bundling initiative to cover all services for hip and knee replacements. Broader expansion of alternative payment and delivery models has recently been introduced in the private sector. Bundled payments incentivize providers to appropriately reduce spending without compromising quality of care. Establishing market size, competitive pricing, and care coordination are integral to ensure the viability of a bundled payment model. The purpose of this study is to address key considerations for providers who plan to create an effective bundle in the private sector.