The Physician as the Provider at Risk: Rolling the Dice
作者: Stephen B. MurphyNicholas J. BolzDavid P. TerryCarl T. TalmoMichael N. Fehm
作者单位: 1Department of Orthopaedic Surgery, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts
2Department of Orthopaedic Surgery, New York University Langone Medical Center, Hospital for Joint Disease, New York, New York
3Archway Health Advisors, Harvard Innovation Launch Lab, Allston, Massachusetts
4Excel Orthopaedic Specialists, Woburn, Massachusetts
刊名: The Journal of Arthroplasty, 2016, Vol.31 (5), pp.938-944
来源数据库: Elsevier Journal
DOI: 10.1016/j.arth.2016.02.042
关键词: value-based purchasingbundled payments for care improvementphysician group practicemanaged care organizationgainsharingcomprehensive care for joint arthroplasty
原始语种摘要: Abstract(#br)Background(#br)There is significant need for physician innovation and leadership in health care as we adapt to bundled payment models of health care delivery.(#br)Methods(#br)We engaged a collective of 16 different private company orthopedic physician groups to apply to become episode initiators under BPCI models 2 and 3. The application process itself provided historical cost data, enabling each group to independently decide whether or not to proceed with the BPCI initiative.(#br)Results(#br)Ultimately, 7 of the private orthopedic groups decided to continue with the BPCI initiative. At the first quarter reconciliation, savings ranged from 9% to 17% across the participating groups.(#br)Conclusion(#br)The more leadership surgeons provide in value base care provision, the more...
全文获取路径: Elsevier  (合作)
影响因子:2.11 (2012)