Similar Cost Savings of Bundled Payment Initiatives Applied to Lower Extremity Total Joint Arthroplasty Can Be Achieved Applying Both Models 2 and 3.

ABSTRACT:

Background

In an effort to control cost and increase value, Medicare is transitioning from fee-for-service to value-based alternative payment models (APMs). The Bundled Payments for Care Improvement (BPCI) initiative represents one such voluntary APM. BPCI offers four different bundling options: model 1 covers all Diagnosis Related Groups (DRGs) and Models 2-4 cover 48 clinical episodes, including 186 separate DRGs.

Questions/purposes

The purpose of this investigation is to analyze and compare the cost savings achieved by two different BPCI program participants, provider A and provider B, enrolled in different models of BPCI (Models 2 and 3) for lower extremity joint replacements (LEJRs).

Methods

We analyzed the BPCI cost savings for Medicare Severity-Diagnosis Relate

SUBMITTER: Alfonso A 

PROVIDER: S-EPMC5617826 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature