Orthopedic programs and organizations better get ready for bundles payments.
Amid healthcare’s continuing transition to value-based care delivery, many health systems are considering the possibility of developing bundled payment programs for single episodes of care. But which service is best to bundle?
Last week CMS proposed a Comprehensive Care for Joint Replacement model, scheduled to begin as early as next year. Is your hospital prepared to bear financial risk among your Medicare patient population for total joint replacement surgery?
The Oncology Care Model (OCM) is aimed at physician practices that administer chemotherapy and bill for services under the Medicare Physician Fee Schedule. The OCM is built upon new reimbursement structures for services provided to cancer patients within episodes of care.
As the movement toward value-based arrangements accelerates, healthcare organizations and payors are exploring innovative reimbursement models and incentive structures.
Because of the continuing uncertainty about future changes to reimbursement and costs for outpatient orthopedic surgeries, the number of health system/ASC transactions is likely to increase over the next few years.
Bundled payments are an effective starting point for going down the path of value-based reimbursement models. The most important advantage in beginning with bundled payments is control – you can identify the episode of care and negotiate the payment agreement based on areas of strength in which your institution is most likely to be successful.
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