BCBSNC Kicks Off Orthopedic Bundles
Blue Cross Blue Shield of North Carolina has just started testing out its bundled payment model for knee replacement surgeries, and if performs well, the model could be pushed out to include hip replacements.
Elaine Daniels, the plan's senior strategic network consultant, says BCBSNC started modeling orthopedic bundles in 2010, began a pilot project in 2011, and recently announced two bundled payment initiatives with physician-owned Triangle Orthopaedic Associates (TOA) and Duke University Health System.
"When you're looking at doing bundles on a first pass, orthopedic procedures were easier for us because there aren't that many complications," says Daniels. "There's not a lot of leakage, you know who the care team is going to be, so there's more continuity of care for that member or patient."
Both bundled payment arrangements were announced within the last two months and apply to BCBSNC members who have knee surgeries performed at North Carolina Specialty Hospital, a facility jointly-owned by TOA, as well two Duke-affiliated hospitals, Duke University and Durham Regional.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Centralizing the Revenue Cycle Protects the Bottom Line
- CA Fines 8 Hospitals for Medical Errors
- A Fresh Look at End-of-Life Care
- 3 in 4 Patients Want E-mail Consultations
- Heart Attack Patient Costs Skyrocket Beyond 30 Days
- ACGME Chief Sees 'Huge' Risk of Error in Proposed Assistant Physician Licensure
- 3 Insider Tips on Cutting Costs without Strangling Growth