The Connecticut Joint Replacement Institute has struggled to get its bundled payment model accepted by commercial payors, according to the Hartford Business Journal.
Two years after developing a model call the Step Ahead Plan to bundle payments for total hip and knee replacements, Steven Schutzer, MD, co-director of CJRI finally found an insurance company to buy into the model.
The Step Ahead Plan, which is a collaborative effort with St. Francis Hospital and Woodland Anesthesiology Associates, was recently accepted by Farmington-based ConnectiCare to reimburse one value-based price.
For now, any cost overruns get reimbursed based on a fee schedule. Dr. Schutzer called the plan "baby steps" establishing a continuum of care. So far, 20 surgeries have been performed since the contract went to ConnectiCare, and there have been no cost overruns.
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Two years after developing a model call the Step Ahead Plan to bundle payments for total hip and knee replacements, Steven Schutzer, MD, co-director of CJRI finally found an insurance company to buy into the model.
The Step Ahead Plan, which is a collaborative effort with St. Francis Hospital and Woodland Anesthesiology Associates, was recently accepted by Farmington-based ConnectiCare to reimburse one value-based price.
For now, any cost overruns get reimbursed based on a fee schedule. Dr. Schutzer called the plan "baby steps" establishing a continuum of care. So far, 20 surgeries have been performed since the contract went to ConnectiCare, and there have been no cost overruns.
More Articles on Coding, Billing and Collections:
5 Crucial Points on Moving Out-of-Network as an ASC
CMS Finalizes EHR Incentive Program Phase Two Rules; 50 Percent Threshold May Impact ASCs, Physicians
5 Benefits of Electronic Medical Records