What You Need to Know about Value-based Healthcare

    The impact of new payment models mandated by the federal government is very much on the minds of orthopaedic surgeons these days.

    To give you some insights into these models, we’ve assembled a collection of presentations that addresses issues directly related to value-based healthcare and bundled payment models. These presentations are from 4 experienced surgeons with busy joint replacement practices.

    Comparison of Year One to Year Three of BPCI: The Nuances of the Bundle
    Richard Iorio, MD

    Value-based purchasing for healthcare is here, but many orthopaedic surgeons are unprepared.

    In this presentation, Dr. Richard Iorio explains the differences between the Bundled Payment for Care Initiative and the Comprehensive Care for Joint Replacement. He also reviews the protocols enacted at NYU to make these bundled payment plans profitable for the hospital and the surgeons.

    Click the image above to hear his comments.

    Risk Factor Stratification: Optimization is the Key to Avoiding Readmission
    Bryan D. Springer, MD

    Medicare does not distinguish between total hip arthroplasty (THA) for the treatment of osteoarthritis or the management of hip fracture: There are no medical or orthopaedic risk adjustments in their bundled payment initiative to account for the more intensive resource utilization associated with hip fracture management.

    In this presentation, Dr. Bryan Springer reviews how patient optimization prior to surgery can modify some of the important differences in risk for complications and readmissions following THA for osteoarthritis versus hip fracture.

    Click the image above to hear his comments.

    Length of Stay: The Least Important Metric in the Bundle, Avoiding Inpatient Post-acute Care
    William J. Long, MD, FRCSC

    In a 90-day episode of care in bundled payment models, length of stay is not an effective measure of efficiency; discharge disposition is.

    In this presentation, Dr. William Long reviews how a well-coordinated outpatient care program results in sustained or improved quality at a reduced cost.

    Click the image above to hear his comments.

    Prosthetic Treatment of Hip Fractures and Conversion of Previous Surgery to THA: How to Manage Outliers in the Bundle
    Gwo-Chin Lee, MD

    Hip fracture patients treated with total hip arthroplasty (THA) have more comorbidities and more expected complications. Yet in the Bundled Payments for Care Improvements (BPCI) model, these patients are treated the same as as primary, elective THA patients.

    In this presentation, Dr. Gwo-Chin Lee explains that the care of fracture patients in BPCI is more like the care of revision THA patients, and he also reviews the steps that can be taken to optimize the processes to minimize readmission rates and increased costs.

    Click the image above to hear his comments.