Publications | Case Studies | Concept Papers

Advisory Board member’s top 10 questions on the Bundled Payments for Care Improvement Initiative

Since CMS’s Innovation Center announced the new Bundled Payments for Care Improvement Initiative on August 23, 2011, Advisory Board members have asked a range of excellent questions about the new program.

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Don Berwick Offers Health Care 9 Steps to End Era of “Complex Incentives” and “Excessive Measurement”

Former CMS administrator believes that relationships will be the foundation on which the next phase of health care is built

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Total joint Perioperative Surgical Home: an observational financial review

The Perioperative Surgical Home (PSH) model, a patient-centered and physician-led multidisciplinary system of coordinated care, was implemented at UC Irvine Health in 2012 for patients undergoing primary elective total knee arthroplasty (TKA) or total hip arthroplasty (THA). This observational study examines the costs associated with this initiative.

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Bundled payments give surgeons a powerful new incentive to reduce costs

Companies that sell hip and knee implants to the Surgical Hospital of Phoenix now have one choice: they can accept the prices that the hospital has set or take their devices elsewhere.

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From Volume to Value in Health Care

The transition of health care from volume to value is no longer theoretical, or wishful thinking. The work is now under way. In this issue of JAMA, the article by Lee et al from the University of Utah provides clear evidence that the work is do- able and is worth doing.

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The Strategy that will Fix Healthcare

In health care, the days of business as usual are over. Around the world, every health care system is struggling with rising costs and uneven quality despite the hard work of well-intentioned, well-trained clinicians. It’s time for a fundamentally new strategy…

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What Is Value in Health Care?

In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction.

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U.S. Health Care Is on the Cusp of Bundled Payments

This article discusses the challenges in the shift towards bundled payments.

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Improving Value in Musculoskeletal Care Delivery

The current status of musculoskeletal health-care delivery requires substantial change before the goal of improving patient outcomes and lowering health-care costs can be achieved.

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Shifting From Volume to Value: Opportunities and Challenges for the Field of Orthopaedic Surgery

The US allocates more to health care spending than any other country, boasts the highest proportion of specialist providers, and remains at the forefront of techno- logical advances. However, multiple survey reports demonstrate that the US ranks poorly on measures of health outcomes, quality of care, and efficiency of delivery.

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Value-based Healthcare: The Challenge of Identifying and Addressing Low-value Interventions

The US healthcare system is the most expensive in the world on a per capita basis [24], while producing health outcomes that in many cases are in the lower 50% among Organization for Economic Co- operation and Development nations [19]. High administrative burden, mis- aligned financial incentives, limited transparency of costs and outcomes, and the concept of ‘‘defensive medicine’’ are some of the cost drivers that explain this discrepancy.

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