RT Journal
A1 Enquist, Mary
A1 Bosco III, Joseph A.
A1 Pazand, Lily
A1 Habibi, Karim A.
A1 Donoghue, Richard J.
A1 Zuckerman, Joseph D.
T1 Managing Episodes of Care: Strategies for Orthopaedic Surgeons in the Era of Reform
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2011
FD May 18
VO 93
IS 10
SP e55 1
OP 7
DO 10.2106/JBJS.J.01703
UL http://dx.doi.org/10.2106/JBJS.J.01703
AB 
While the demand for hip and knee replacements is on the rise, reimbursement from public payers continues to decline. As Medicare experiments with payment reform strategies, such as the National Pilot Program on Payment Bundling outlined in the Patient Protection and Affordable Care Act (PPACA), orthopaedic surgeons will need to identify ways to cut costs, maintain quality measures, and manage post-acute care to survive in a changing marketplace. This article seeks to demystify the episode-of-care bundled payment methodology, provide a roadmap of what orthopaedic surgeons can do to participate in this demonstration project, and present strategies to mitigate the inherent risks.