For more than 150 years, the mission of the Hospital for Special Surgery in New York City has been to provide high-quality, efficient care for orthopedic and rheumatology patients. The hospital performs more than 30,000 surgical procedures a year, including more than 10,000 joint replacements. At the helm of the organization since 2006 is Lou Shapiro, a veteran healthcare executive who previously served as chief operating officer of Geisinger Health System in Pennsylvania. Shapiro stopped by Modern Healthcare’s Chicago offices to speak with reporter Maria Castellucci about HSS’ unique care-delivery approach, its efforts to expand and how to achieve value in healthcare.
Healthcare providers are finding that it takes a village to succeed in bundled payment models. From primary care to specialists and post-acute care, providers need an integrated network of provider types and to play to their healthcare market to realize savings under bundled payments, stated the assistant vice president of payer relations at Scripps Health.
Bundled payment programs are picking up steam as the healthcare industry shifts to value-based care, and according to Surgical Directions, ASCs can successfully participate in total joint bundled payment programs if they keep a few key things in mind.
Medicare’s Comprehensive Care for Joint Replacement (CJR) Model introduced a new measurement for joint replacement programs, the Composite Quality Score. How this score is calculated is a bit complicated, so here’s a breakdown of how it works:
A new article published in Clinical Spine Surgery examines payer reform opportunities for spine surgery. The article, written by Jason Scalise, MD, and David Jacofsky, MD, focuses on bundled payments. Here are five key trends from the report:
Under bundled payment models, healthcare providers take on the clinical and financial risk payers traditionally managed. But providers at OrthoCarolina found that patients also play a major role in improving care quality and decreasing healthcare costs under the value-based reimbursement arrangement.