Metric Selection, Metric Targets, and Risk Adjustment Should be Considered in the Design of Gainsharing Models for Bundled Payment Programs in Total Joint Arthroplasty
Keswani AH, Snyder DJ, Ahn A, Austin DC, Jayakumar P, Grauer JN, Poeran J, Bozic KJ, Moschetti WE, Jevsevar DS, Galatz LM, Bronson MJ, Chen DD, Moucha CS. Metric Selection, Metric Targets, and Risk Adjustment Should be Considered in the Design of Gainsharing Models for Bundled Payment Programs in Total Joint Arthroplasty. The Journal Of Arthroplasty 2020, 36: 801-809. PMID: 33199096, DOI: 10.1016/j.arth.2020.10.007.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesTotal joint arthroplastyRisk adjustmentJoint arthroplastyLength of stayUrban health systemSurgeon performanceBundled payment programsBundled payment modelReadmission ratesPRO collectionInclusion criteriaPatientsLevel IIIHealth systemArthroplastyPayment modelsAcceptable targetsPayment programsImportant mechanismAdjustmentTarget