Care‐coordination: Gain‐sharing Agreements in Bundled Payment Models

2020 ◽  
Author(s):  
Salar Ghamat ◽  
Gregory S. Zaric ◽  
Hubert Pun
Keyword(s):  
Care Coordination ◽  
Gain Sharing ◽  
Bundled Payment ◽  
Payment Models

Increased Prevalence, Complications, and Costs of Smokers Undergoing Total Knee Arthroplasty

2020 ◽  
Author(s):  
Sean S. Rajaee ◽  
Eytan M. Debbi ◽  
Guy D. Paiement ◽  
Andrew I. Spitzer
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Smoking Status ◽  
Hospital Costs ◽  
Patient Characteristics ◽  
The United States ◽  
Bundled Payment ◽  
Vein Thrombosis ◽  
Total Knee ◽  
Payment Models

AbstractGiven a national push toward bundled payment models, the purpose of this study was to examine the prevalence as well as the effect of smoking on early inpatient complications and cost following elective total knee arthroplasty (TKA) in the United States across multiple years. Using the nationwide inpatient sample, all primary elective TKA admissions were identified from 2012 to 2014. Patients were stratified by smoking status through a secondary diagnosis of “tobacco use disorder.” Patient characteristics as well as prevalence, costs, and incidence of complications were compared. There was a significant increase in the rate of smoking in TKA from 17.9% in 2012 to 19.2% in 2014 (p < 0.0001). The highest rate was seen in patients < 45 years of age (27.3%). Hospital resource usage was significantly higher for smokers, with a length of stay of 3.3 versus 2.9 days (p < 0.0001), and hospital costs of $16,752 versus $15,653 (p < 0.0001). A multivariable logistic model adjusting for age, gender, and comorbidities showed that smokers had an increased odds ratio for myocardial infarction (5.72), cardiac arrest (4.59), stroke (4.42), inpatient mortality (4.21), pneumonia (4.01), acute renal failure (2.95), deep vein thrombosis (2.74), urinary tract infection (2.43), transfusion (1.38) and sepsis (0.65) (all p < 0.0001). Smoking is common among patients undergoing elective TKA, and its prevalence continues to rise. Smoking is associated with higher hospital costs as well as higher rates of immediate inpatient complications. These findings are critical for risk stratification, improving of bundled payment models as well as patient education, and optimization prior to surgery to reduce costs and complications.

Bundled payment models in cancer: What we know and where to go

2018 ◽  
Vol 149 ◽  
pp. 128-129
Author(s):  
E.M. Aviki ◽  
S.M. Schleicher ◽  
D. Korenstein
Keyword(s):  
Bundled Payment ◽  
Payment Models

Are current DRG-based bundled payment models for lumbar fusions risk-adjusting adequately? An analysis of Medicare beneficiaries

2020 ◽  
Vol 20 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Azeem Tariq Malik ◽  
Frank M. Phillips ◽  
Elizabeth Yu ◽  
Safdar N. Khan
Keyword(s):  
Medicare Beneficiaries ◽  
Bundled Payment ◽  
Payment Models

Bundled Payment Models in Spine Surgery: Current Challenges and Opportunities, a Systematic Review

2019 ◽  
Vol 123 ◽  
pp. 177-183 ◽  
Author(s):  
Nicholas Dietz ◽  
Mayur Sharma ◽  
Ahmad Alhourani ◽  
Beatrice Ugiliweneza ◽  
Dengzhi Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spine Surgery ◽  
Bundled Payment ◽  
Challenges And Opportunities ◽  
Payment Models

Refining risk adjustment for bundled payment models in cervical fusions—an analysis of Medicare beneficiaries

2019 ◽  
Vol 19 (10) ◽  
pp. 1706-1713 ◽  
Author(s):  
Azeem Tariq Malik ◽  
Frank M. Phillips ◽  
Sheldon Retchin ◽  
Wendy Xu ◽  
Elizabeth Yu ◽  
...  
Keyword(s):  
Risk Adjustment ◽  
Medicare Beneficiaries ◽  
Bundled Payment ◽  
Payment Models

Are current DRG-based bundled payment models for lumbar fusions risk-adjusting adequately? An analysis of Medicare beneficiaries

2019 ◽  
Vol 19 (9) ◽  
pp. S75
Author(s):  
Azeem Tariq Malik ◽  
Frank M Phillips ◽  
Elizabeth Yu ◽  
Safdar N Khan
Keyword(s):  
Medicare Beneficiaries ◽  
Bundled Payment ◽  
Payment Models

Bundled Payment in Total Joint Care: Survey of AAHKS Membership Attitudes and Experience with Alternative Payment Models

2015 ◽  
Vol 30 (12) ◽  
pp. 2045-2056 ◽  
Author(s):  
Atul F. Kamath ◽  
Paul M. Courtney ◽  
Kevin J. Bozic ◽  
Samir Mehta ◽  
Brian S. Parsley ◽  
...  
Keyword(s):  
Bundled Payment ◽  
Care Survey ◽  
Payment Models

scholarly journals Reengineering valve patients' postdischarge management for adapting to bundled payment models

2017 ◽  
Vol 154 (1) ◽  
pp. 190-198 ◽  
Author(s):  
Michael S. Koeckert ◽  
Patricia A. Ursomanno ◽  
Mathew R. Williams ◽  
Michael Querijero ◽  
Elias A. Zias ◽  
...  
Keyword(s):  
Bundled Payment ◽  
Payment Models

Untapped Potential of Home Health Care Innovations to Improve Outcomes With Bundled Payment Initiatives

2016 ◽  
Vol 29 (1) ◽  
pp. 53-55
Author(s):  
Teresa Lee ◽  
Jennifer Schiller
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Home Health ◽  
Bundled Payment ◽  
Home Based ◽  
Medicare Program ◽  
Health Agencies ◽  
Home Health Agencies ◽  
Home Based Care ◽  
Payment Models

A rapidly changing health care payment system creates opportunities for optimizing home health and home-based care for patients needing cardiac rehabilitation (CR). Home health agencies are poised to play a significant role in episode payment models in the context of post–acute care for patients with cardiovascular conditions. As the Medicare program expands its episode payment models to include patients with cardiovascular conditions, hospitals and other health care stakeholders that will be engaged in these bundled payment arrangements should consider use of home health care in the delivery of CR as a bridge to outpatient therapy and patient self-management.

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