Bundled Payments: Our Experience at an Academic Medical Center
Nicholas J Bolz1, Richard Iorio1
1Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, New York.
Background:
The landscape of health care is transitioning from a fee-for-service model to value-based purchasing.
Methods:
We developed evidence-based clinical pathways and risk stratification measures to effectively implement the Bundled Payments for Care Improvement model of value-based purchasing.
Results:
We decreased patients' length of stay, discharge to inpatient facilities, and cost of an episode of patient care.
Conclusion:
The bundled care payment initiative has been successfully implemented for Diagnosis Related Groups 469 and 470, delivering high-quality patient care at a reduced price.
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