Literature DB >> 28364146

Bundled payments in total joint arthroplasty and spine surgery.

Rashad Sullivan1, Landry D Jarvis1, Tadhg O'Gara1, Maxwell Langfitt1, Cynthia Emory2.   

Abstract

PURPOSE OF REVIEW: The goal of this manuscript is to provide an overview and analysis of bundled payment models for joint replacement and select spine procedures. Advantages and disadvantages of bundled payment models will be discussed. RECENT
FINDINGS: In select populations, bundled payment models have been shown to reduce costs while maintaining satisfactory outcomes. These models have not been tested with complex patient cohorts, such as older adults with fragility hip fractures, and limited data exist with bundled payment analysis in spine procedures. The reduction of healthcare costs, satisfactory patient outcomes, and favorable payments to healthcare systems can be achieved through bundled payments. Modifications of existing bundled payment models should be critically tested prior to implementation across higher risk populations. Bundled payment models will also require healthcare systems to define what services are necessary for an episode of care regarding a specific condition or disease.

Entities:  

Keywords:  ACDF; Bundled payment; Medicare payment; Readmission; Total hip arthroplasty; Total knee arthroplasty

Year:  2017        PMID: 28364146      PMCID: PMC5435636          DOI: 10.1007/s12178-017-9405-8

Source DB:  PubMed          Journal:  Curr Rev Musculoskelet Med        ISSN: 1935-9748


  14 in total

1.  Decreasing spine implant costs and inter-physician cost variation: the impact of programme of cost containment on implant expenditure in spinal surgery.

Authors:  J Oren; L H Hutzler; T Hunter; T Errico; J Zuckerman; J Bosco
Journal:  Bone Joint J       Date:  2015-08       Impact factor: 5.082

2.  Beyond pay for performance--emerging models of provider-payment reform.

Authors:  Meredith B Rosenthal
Journal:  N Engl J Med       Date:  2008-09-18       Impact factor: 91.245

Review 3.  Closing the quality gap: revisiting the state of the science (vol. 1: bundled payment: effects on health care spending and quality).

Authors:  Peter S Hussey; Andrew W Mulcahy; Christopher Schnyer; Eric C Schneider
Journal:  Evid Rep Technol Assess (Full Rep)       Date:  2012-08

4.  A Survey of Innovative Reimbursement Models in Spine Care.

Authors:  Alex Kazberouk; Kevin McGuire; Bruce E Landon
Journal:  Spine (Phila Pa 1976)       Date:  2016-02       Impact factor: 3.468

5.  Quality analysis of anterior cervical discectomy and fusion in the outpatient versus inpatient setting: analysis of 7288 patients from the NSQIP database.

Authors:  Matthew J McGirt; Saniya S Godil; Anthony L Asher; Scott L Parker; Clinton J Devin
Journal:  Neurosurg Focus       Date:  2015-12       Impact factor: 4.047

6.  Reimbursement Related to a 90-Day Episode of Care for a One or Two-Level Anterior Cervical Discectomy and Fusion.

Authors:  Sohrab S Virk; Frank M Phillips; Safdar N Khan
Journal:  J Bone Joint Surg Am       Date:  2016-08-17       Impact factor: 5.284

7.  Socioeconomic Risk Adjustment Models for Reimbursement Are Necessary in Primary Total Joint Arthroplasty.

Authors:  P Maxwell Courtney; James I Huddleston; Richard Iorio; David C Markel
Journal:  J Arthroplasty       Date:  2016-07-16       Impact factor: 4.757

8.  Should All Patients Be Included in Alternative Payment Models for Primary Total Hip Arthroplasty and Total Knee Arthroplasty?

Authors:  Joshua C Rozell; Paul M Courtney; Jonathan R Dattilo; Chia H Wu; Gwo-Chin Lee
Journal:  J Arthroplasty       Date:  2016-03-24       Impact factor: 4.757

9.  Bundled payments in total joint arthroplasty: targeting opportunities for quality improvement and cost reduction.

Authors:  Kevin J Bozic; Lorrayne Ward; Thomas P Vail; Mervyn Maze
Journal:  Clin Orthop Relat Res       Date:  2014-01       Impact factor: 4.176

10.  Spinal surgery: variations in health care costs and implications for episode-based bundled payments.

Authors:  Beatrice Ugiliweneza; Maiying Kong; Kristin Nosova; Kevin T Huang; Ranjith Babu; Shivanand P Lad; Maxwell Boakye
Journal:  Spine (Phila Pa 1976)       Date:  2014-07-01       Impact factor: 3.468

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  16 in total

1.  Ambulatory surgery center payment models: current trends and future directions.

Authors:  Heeren S Makanji; Vivek K Bilolikar; Dhruv K C Goyal; Mark F Kurd
Journal:  J Spine Surg       Date:  2019-09

2.  90-Day Bundled Payment Simulation, Health Care Utilization, and Complications following Craniopharyngioma Resection in Adult Patients.

Authors:  Nicholas Dietz; Mayur Sharma; Kevin John; Dengzhi Wang; Beatrice Ugiliweneza; Sriprakash Mokshagundam; Martin F Bjurström; Maxwell Boakye; Brian J Williams; Norberto Andaluz
Journal:  J Neurol Surg B Skull Base       Date:  2021-12-16

3.  Epidemiology of Revision Total Knee Arthroplasty in the United States, 2012 to 2019.

Authors:  Alexander Upfill-Brown; Peter P Hsiue; Troy Sekimura; Brendan Shi; Seth A Ahlquist; Jay N Patel; Micah Adamson; Alexandra I Stavrakis
Journal:  Arthroplast Today       Date:  2022-05-21

4.  Low Socioeconomic Status Is Associated With Increased Complication Rates: Are Risk Adjustment Models Necessary in Cervical Spine Surgery?

Authors:  Alexander M Lieber; Anthony J Boniello; Yehuda E Kerbel; Philip Petrucelli; Venkat Kavuri; Andre Jakoi; Amrit S Khalsa
Journal:  Global Spine J       Date:  2019-09-12

5.  Readmissions After Outpatient Transforaminal Decompression for Lumbar Foraminal and Lateral Recess Stenosis.

Authors:  Kai-Uwe Lewandrowski
Journal:  Int J Spine Surg       Date:  2018-08-15

6.  Is Uncontrolled Diabetes Mellitus Associated with Incidence of Complications After Posterior Instrumented Lumbar Fusion? A National Claims Database Analysis.

Authors:  Thompson Zhuang; Austin Y Feng; Lauren M Shapiro; Serena S Hu; Michael Gardner; Robin N Kamal
Journal:  Clin Orthop Relat Res       Date:  2021-12-01       Impact factor: 4.176

7.  The Impact of Medical Comorbidities on Primary Total Knee Arthroplasty Reimbursements.

Authors:  Karim G Sabeh; Samuel Rosas; Leonard T Buller; Andrew A Freiberg; Cynthia L Emory; Martin W Roche
Journal:  J Knee Surg       Date:  2018-05-23       Impact factor: 2.501

8.  A Cost-Effectiveness Analysis of Smoking-Cessation Interventions Prior to Posterolateral Lumbar Fusion.

Authors:  Thompson Zhuang; Seul Ku; Lauren M Shapiro; Serena S Hu; Akaila Cabell; Robin N Kamal
Journal:  J Bone Joint Surg Am       Date:  2020-12-02       Impact factor: 6.558

9.  Hospital and Surgeon Medicare Reimbursement Trends for Total Joint Arthroplasty.

Authors:  Cesar D Lopez; Venkat Boddapati; Alexander L Neuwirth; Roshan P Shah; H John Cooper; Jeffrey A Geller
Journal:  Arthroplast Today       Date:  2020-06-23

10.  Incidence, Management, and Cost of Complications After Transforaminal Endoscopic Decompression Surgery for Lumbar Foraminal and Lateral Recess Stenosis: A Value Proposition for Outpatient Ambulatory Surgery.

Authors:  Kai-Uwe Lewandrowski
Journal:  Int J Spine Surg       Date:  2019-02-22
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