Literature DB >> 28318863

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.

Kevin K Chen1, Jonathan H Harty1, Joseph A Bosco1.   

Abstract

BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSION: Following these guidelines will help practitioners thrive in a bundled care environment.
Copyright © 2017 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  alternative payment models; total hip arthroplasty; total joint arthroplasty; total knee arthroplasty; value

Mesh:

Year:  2017        PMID: 28318863     DOI: 10.1016/j.arth.2017.02.013

Source DB:  PubMed          Journal:  J Arthroplasty        ISSN: 0883-5403            Impact factor:   4.757


  6 in total

1.  Predictive capacity of four machine learning models for in-hospital postoperative outcomes following total knee arthroplasty.

Authors:  Abdul K Zalikha; Mouhanad M El-Othmani; Roshan P Shah
Journal:  J Orthop       Date:  2022-03-21

2.  2018 John Charnley Award: Analysis of US Hip Replacement Bundled Payments: Physician-initiated Episodes Outperform Hospital-initiated Episodes.

Authors:  William S Murphy; Ahmed Siddiqi; Tony Cheng; Ben Lin; David Terry; Carl T Talmo; Stephen B Murphy
Journal:  Clin Orthop Relat Res       Date:  2019-02       Impact factor: 4.176

3.  Readmission, Complication, and Disposition Calculators in Total Joint Arthroplasty: A Systemic Review.

Authors:  Cole M Howie; Simon C Mears; C Lowry Barnes; Jeffrey B Stambough
Journal:  J Arthroplasty       Date:  2020-11-03       Impact factor: 4.757

4.  The Value Equation: Time for a Rethink!

Authors:  Nicholas Talluri; Melvin A Harrington; Mohamad J Halawi
Journal:  Arthroplast Today       Date:  2020-03-30

5.  Introducing enhanced recovery after surgery in a high-volume orthopaedic hospital: a health technology assessment.

Authors:  Francesco Vanni; Emanuela Foglia; Federico Pennestrì; Lucrezia Ferrario; Giuseppe Banfi
Journal:  BMC Health Serv Res       Date:  2020-08-24       Impact factor: 2.655

Review 6.  Supporting efficiency improvement in public health systems: a rapid evidence synthesis.

Authors:  James Kenneth Walters; Anurag Sharma; Emma Malica; Reema Harrison
Journal:  BMC Health Serv Res       Date:  2022-03-03       Impact factor: 2.655

  6 in total

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