Bundled Payments arrive January 2016

[BLADEMDA]

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Big changes coming for hip, knee surgery payments


http://www.cnbc.com/2015/07/09/big-changes-coming-for-hip-knee-surgery-payments.html

 

[BLADEMDA]

Emmanuel also cited a Congressional Budget Office report that found Medicare could save nearly $50 billion over a decade if more procedures were subject to bundled payment models

 

[Carbocation1]

"During a conference call with reporters, Burwell said the proposal is "what we hear than many doctors and hospitals want."

 

[chocomorsel]

So how does the government suggest that we divvy up the dividends? Between the Surgeon, anesthesiologist, nurses, techs, PTs OTs, CNAs, housekeepers, dieticians, pharmacists?
How in the hell is this going to be feasible?
I really need to work on plan B!!! Get the heck out of medicine. Or at least the hospital. Cash only. Our practice is already starting to collect fees up front for patients who are on high deductible OBAMACARE plans.

 

[Arch Guillotti]

Big changes coming for hip, knee surgery payments


http://www.cnbc.com/2015/07/09/big-changes-coming-for-hip-knee-surgery-payments.html

They are already here for some of us.

 

[criticalelement]

The amount of surgeries for hip and knee replacement will fall dramatically. Guaranteed. And the wait for said surgeries will go up

 

[Carbocation1]

http://www.forbes.com/sites/theapot...l-and-spiros-ultimate-bundled-payment-system/

"Emanuel and Spiro don’t mention this, but it is possible in fact to create the Ultimate Bundle – all of the services a patient might need during a given year. Not just one surgery plus the associated office visits and drugs and devices – but everything a patient might need over an entire year.

In that case, one entity would be paid a single amount and be responsible for paying all of the individual components of a patient’s total health care cost, and would therefore have an incentive to structure payments and service to avoid waste and increase efficiency. If the patient got to choose this entity, there would also be a strong incentive to maximize the quality of care and customer service as well.

It turns out Medicare already has a system like this. They just don’t call it “Ultimate Bundled Payment System.” They call it “Medicare Advantage.”

 

[gasdoc77]

http://www.forbes.com/sites/theapot...l-and-spiros-ultimate-bundled-payment-system/

"Emanuel and Spiro don’t mention this, but it is possible in fact to create the Ultimate Bundle – all of the services a patient might need during a given year. Not just one surgery plus the associated office visits and drugs and devices – but everything a patient might need over an entire year.

In that case, one entity would be paid a single amount and be responsible for paying all of the individual components of a patient’s total health care cost, and would therefore have an incentive to structure payments and service to avoid waste and increase efficiency. If the patient got to choose this entity, there would also be a strong incentive to maximize the quality of care and customer service as well.

It turns out Medicare already has a system like this. They just don’t call it “Ultimate Bundled Payment System.” They call it “Medicare Advantage.”

It's called the VA.