Editor's Note This multi-center study led by Humana Inc, Louisville, Kentucky, finds that a bundled payment program offered by a Medicare Advantage insurer for lower extremity joint replacements was associated with reduced spending without changes in quality. A total of 23,034 lower extremity joint replacement surgical episodes (6,355 bundled, 16,679…
Healthcare costs in the US have increased exponentially in recent years. Surgical procedures are especially costly. Cost control without sacrificing high quality care is the ultimate goal for many surgical practices and payers. Alternative practices and payment models have been explored to meet this goal. Episode-based payments, more commonly known…