Procedures employing interbody devices and multi-level fusion require target price adjustment to build a sustainable lumbar fusion bundled payment model
BACKGROUND CONTEXT Bundled payment models require risk adjustment to ensure
appropriate targets are set. While this may be standardized for many services, spine fusions …
appropriate targets are set. While this may be standardized for many services, spine fusions …
P82. Multi-level procedures and interbody fusions require target price adjustment to build a sustainable lumbar fusion bundled payment model
BACKGROUND CONTEXT Bundled payment models, designed to incentivize high-value
care, require risk adjustment to ensure appropriate targets are set based on patient …
care, require risk adjustment to ensure appropriate targets are set based on patient …
Lack of cost savings for lumbar spine fusions after bundled payments for care improvement initiative: a consequence of increased case complexity
WH Bronson, MT Kingery, L Hutzler, R Karia, T Errico… - Spine, 2019 - journals.lww.com
Study Design. Retrospective analysis of Medicare claims and procedure details from a
single institution participation in the Bundled Payments for Care Improvement (BPCI) …
single institution participation in the Bundled Payments for Care Improvement (BPCI) …
Are current DRG-based bundled payment models for lumbar fusions risk-adjusting adequately? An analysis of Medicare beneficiaries
AT Malik, FM Phillips, E Yu, SN Khan - The Spine Journal, 2020 - Elsevier
BACKGROUND CONTEXT Current bundled payment programs in spine surgery, such as
the bundled payment for care improvement rely on the use of diagnosis-related groups …
the bundled payment for care improvement rely on the use of diagnosis-related groups …
116. Risk adjustment in bundled payment models: medical comorbidities as risk factors for reduced reimbursement following lumbar fusion and decompression in the …
BACKGROUND CONTEXT Given that elderly Americans are more likely to have one or
more chronic medical conditions, accurate adjustment of target costs within Centers for …
more chronic medical conditions, accurate adjustment of target costs within Centers for …
P135. Patient specific risk factors for reduced profitability of a private insurance bundled payment model for lumbar fusion and decompression
BACKGROUND CONTEXT Health care reimbursements have started to shift from fee-for-
service to bundled payments. Given this trend, there is a need to assess the performance of …
service to bundled payments. Given this trend, there is a need to assess the performance of …
Ninety-day reimbursements for primary single-level posterior lumbar interbody fusion from commercial and Medicare data
N Jain, FM Phillips, SN Khan - Spine, 2018 - journals.lww.com
Objective. To analyze the distribution of 90-day payments for a primary single-level posterior
lumbar interbody fusion from Commercial payers and Medicare. Summary of Background …
lumbar interbody fusion from Commercial payers and Medicare. Summary of Background …
Implementation of a Private Payer Bundled Payment Model While Maintaining High-Value Lumbar Spinal Fusion
Study Design: Retrospective single-institution cohort Objective: To evaluate the
implementation of a commercial bundled payment model in patients undergoing lumbar …
implementation of a commercial bundled payment model in patients undergoing lumbar …
26. Modeling a successful transition from BPCI to private payer bundled payment models while maintaining high value lumbar spinal fusion
BACKGROUND CONTEXT The United States launched the Bundled Payments for Care
Improvement (BCPI) Initiative to incentivize high value care. While initially successful …
Improvement (BCPI) Initiative to incentivize high value care. While initially successful …
90-Day Reimbursements for Primary Single-Level Posterior Lumbar Interbody Fusion from Commercial and Medicare Data
N Jain, FM Phillips, SN Khan - The Spine Journal, 2017 - thespinejournalonline.com
BACKGROUND CONTEXT: Episode-based bundled payments aim to align incentives of all
health care providers toward the common goal of high quality and economic health care …
health care providers toward the common goal of high quality and economic health care …