Dr. James T. Caillouette: Bundled payments + the joint replacement 'revolution'

Irvine, Calif.-based Hoag Orthopedic Institute has performed more than 1,000 same-day joint replacements since 2009, according to James T. Caillouette, MD, who was interviewed by Orange County Breeze.

Dr. Caillouette is the founding partner, chief strategy officer and Joan and Andy Fimiano Endowed Chair in Orthopedic Surgery at HOI.Three key quotes from his discussion with Orange County Breeze:

1. On how joint replacement has changed since his residency: "There has been a revolutionary shift in joint replacement surgery to shorten the length of stay in a hospital and return the patient home as soon as medically appropriate."

2. On innovation at HOI: "At HOI, we helped pioneer the concept of 'bundled' payments for joint replacements. Under this scenario, companies pay one set fee for all the care for their employees for joint replacement."

3. On why same-day joint replacement is increasingly common: "Innovations in the surgical approach to hip and knee replacements are part of the drivers behind the trend. Couple this with newer and improved anesthesia and pain management techniques as well as accelerated and customized physical therapy regimens and the result is a revolution in joint replacement surgery."

Click here to read the full feature by Orange County Breeze. 

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