Health Payer Intelligence April 9, 2020
BCBSRI and University Orthopedics partnered to deliver bundled payment models for hip and knee replacements, highlighting a push towards more value-based reimbursement and holistic care.
A bundled payment model born from a payer-provider partnership between Blue Cross Blue Shield Rhode Island (BCBSRI) and University Orthopedics has helped deliver a holistic, outpatient delivery of a common operation, ultimately highlighting both organizations’ effort to move more towards value-based reimbursement.
The average cost of a total knee replacement is $31,124, according to a study from Blue Cross Blue Shield Association. Total hip replacements are similarly as expensive, averaging $30,124. These totals can feel insurmountable, especially in the healthcare industry increasingly working toward lower costs and better outcomes.
Bundled payments have demonstrated the ability...
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