MedPage Today May 16, 2018
WASHINGTON — How physicians are paid shapes the way care is delivered, but there can be unintended consequences of certain payment models.
At an American Enterprise Institute briefing Wednesday, Kevin Bozic, MD, MBA, an orthopaedic surgeon and professor at Dell Medical School at the University of Texas at Austin, told the story of a 68-year-old patient who had a knee replacement through Medicare’s Bundled Payment for Care Improvement (BPCI) model.
It was a “perfect bundle,” at least per Medicare’s terms. The patient stayed in the hospital for only 1 night, and was discharged directly to her home without any post-acute care. She had no complications and no readmissions within 90 days of the surgery, he said.
However, when...
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