Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Orthopedic Surgery


Dr. Elyse Watkins


The Bundled Payments for Care Improvement (BPCI) initiative began in 2013 as an Alternative Payment Model to traditional fee-for-service (FFS). With FFS, hospitals and providers lack the incentive to reduce costs and in many cases are financially rewarded for providing more care regardless of the quality or outcome. Total Joint Arthroplasty (TJA) programs have implemented BPCI models and succeeded in reducing costs while simultaneously maintaining or increasing quality measures. Best practices exist in the literature as a guiding strategy to successfully implement a hospital-based, BPCI model for a TJA program.


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