Here are five facts:
1. UPMC launched the bundled payment plan in 2013 with hip and knee surgeries and has extended it to spine surgeries at the beginning of 2015.
2. The bundled payment initiative provides an incentive for physicians to provide high quality, high value care for patients.
3. The Centers for Medicare & Medicaid Services proposed a reimbursement model this month that would hold hospitals financially accountable for the quality of care they administer for inpatient knee and hip replacements for Medicare beneficiaries.
4. The model, the Comprehensive Care for Joint Replacement Model, is a bundled payment structure aimed to minimize cost, improve quality and care coordination between hospitals, physicians and post-acute care providers.
5. Medicare beneficiaries received 400,000 inpatient, first-time hip and knee replacement procedures in 2013 which costs approximately $7 billion solely for hospitalization.
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Cigna files multimillion-dollar suit against 11 ASCs for OON fee-forgiveness model: 5 things to know
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.