Total joint replacement procedures – hips and knees – are commonly performed on Medicare patients, costing an estimated $7 billion annually for the hospital care alone. The Centers for Medicare & Medicaid Services (CMS) has developed a bundled payment pilot initiative with mandatory participation for 67 selected health care markets nationwide. One cost-reduction approach that is being tried by several providers is the idea of having elective hip and knee patients go to an “academy,” or otherwise receive patient education, before surgery to remove or lessen risk factors that might complicate their recovery. Among the hospitals and health systems trying this out are: DCH Regional Health System (Tuscaloosa, Ala.), Catholic Health Initiatives (Englewood, Colo.), and BayCare Health (Clearwater, Fla.).
For more information about the CMS initiative, click here: https://innovation.cms.gov/initiatives/cjr
Source: Evans, M. (2016, Mar. 28). Ready or not, the bundled-payment challenge is about to start. Modern Healthcare, 46(13), 8-9. Click here for publisher’s website: http://www.modernhealthcare.com/article/20160326/MAGAZINE/303269996 Posted by AHA Resource Center (312) 422-2050, rc@aha.org
Filed under: Financial management, Hospital costs, Medicare, Posted by Kim Garber, Surgical suite | Tagged: Medicare bundled payment, Total hip replacement surgery, Total knee replacement surgery |