Spinal surgery: Variations in health care costs and implications for episode-based bundled payments

Spine

Volumn 39, Issue 15, 2014, Pages 1235-1242

  Ugiliweneza, Beatrice ^a   Kong, Maiying ^b   Nosova, Kristin ^a   Huang, Kevin T ^c   Babu, Ranjith ^c   Lad, Shivanand P ^c   Boakye, Maxwell ^a  

^a University of Louisville School of Medicine   (United States)

^b UNIVERSITY OF LOUISVILLE   (United States)

^c DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Bundled payments; DRG; Episode of care; Postdischarge cost; Spinal surgery

Indexed keywords

ADULT; ARTICLE; DIAGNOSIS RELATED GROUP; EPISODE BASED BUNDLED PAYMENT; FOLLOW UP; HEALTH CARE COST; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HOSPITALIZATION COST; HUMAN; INTERVERTEBRAL DISKECTOMY; LAMINECTOMY; MAJOR CLINICAL STUDY; MEDICAL FEE; OBSERVATIONAL STUDY; POSTOPERATIVE CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SPINE FUSION; SPINE SURGERY; AGED; CERVICAL SPINE; ECONOMICS; FEE; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE POLICY; LUMBAR VERTEBRA; MALE; MIDDLE AGED; ORTHOPEDIC SURGERY; PATIENT CARE; PROCEDURES; SPINE; STATISTICS AND NUMERICAL DATA; SURGERY; UNITED STATES; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; CERVICAL VERTEBRAE; DELIVERY OF HEALTH CARE; DIAGNOSIS-RELATED GROUPS; EPISODE OF CARE; FEE-FOR-SERVICE PLANS; FEES AND CHARGES; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HOSPITALIZATION; HUMANS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; ORTHOPEDIC PROCEDURES; PATIENT PROTECTION AND AFFORDABLE CARE ACT; RETROSPECTIVE STUDIES; SPINE; UNITED STATES; YOUNG ADULT;

EID: 84926211860     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0000000000000378     Document Type: Article

References (13)

1. Komisar HL, Feder J, Ginsburg PB. "Bundling" payment for episodes of hospital care: issues and recommendations for the new pilot program in Medicare. In: Center for American Progress Report. Washington, DC: Center for American Progress; 2011.
2. Medicare Payment Advisory Commission Report to the congress: reforming the delivery system. Washington, DC: MedPAC; 2008. Available at: http://www.medpac.gov/documents/jun08-EntireReport.pdf. Accessed October 7, 2009.
3. Dong L, Fitch K, Pyenson B, et al. Evaluating bundled payment contracting: alternatives to traditional fee-for-service (FFS) reimbursement have gained attention as financial pressures mount and as FFS is recognized as contributing to medical inflation. The recent Centers for Medicare and Medicaid Innovations (CMMI) Bundled Payments for Care Improvement Initiative is a prominent example, as are private payer contracts. In: Milliman Healthcare Reform Briefing Paper. Seattle, WA: Milliman Inc; 2011.
4. Miller DC, Gust C, Dimick JB, et al. Large variations in Medicare payments for surgery highlight savings potential from bundled payment programs. Health Aff 2011;30:2107-15.
5. Birkmeyer JD, Gust C, Baser O, et al. Medicare payments for common inpatient procedures: implications for episode-based payment bundling Medicare payments for common inpatient procedures. Health Serv Res 2010;45:1783-95.
6. Cutler DM, Ghosh K. The potential for cost savings through bundled episode payments. N Engl J Med 2012;366:1075-7.
7. Baba H, Furusawa N, Imura S, et al. Late radiographic findings after anterior cervical fusion for spondylotic myeloradiculopathy. Spine 1993;18:2167-73.
8. Hansen LG, Chang S. Health research data for the real world: The Thomson Reuters MarketScan Databases. White Paper. Thomson Reuters; Ann Arbor, MI; 2012.
9. Block AR, Ohnmeiss DD, Guyer RD, et al. The use of presurgical psychological screening to predict the outcome of spine surgery. Spine J 2001;1:274-82.
10. Boden SD, Kang J, Sandhu H, et al. Use of recombinant human bone morphogenetic protein-2 to achieve posterolateral lumbar spine fusion in humans: a prospective, randomized clinical pilot trial: 2002 Volvo Award in clinical studies. Spine 2002;27:2662-73.
11. Deyo RA, Mirza SK, Martin BI, et al. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA 2010;303:1259-65.
12. Bozic KJ, Ward L, Vail TP, et al. Bundled payments in total joint arthroplasty: targeting opportunities for quality improvement and cost reduction. Clin Orthop Relat Res 2014;472:188-93.
13. Sood N, Huckfeldt PJ, Escarce JJ, et al. Medicare's bundled payment pilot for acute and postacute care: analysis and recommendation on where to begin. Health Aff (Millwood) 2011;30:1708-17.