Comprehensive Care For Joint Replacement Case Study
Comprehensive Care for Joint Replacement Model
Introduction
Healthcare system is complex and challenging. It needs to be reformed overcome the challenges in terms of cost of treatment. Transformation of the payment system is essential to improve the quality and efficiency of the care. Transformation of the healthcare system including payment system will help to provide the right care at right time in the right healthcare setting. Besides these, it helps the people to stay healthy and prevent common, avoidable complications of illnesses to great extent. In this essay I will discuss about a comprehensive care for joint replacement model, a new model of care and payment mechanism, its influence on cost of care, systems of care, how to access …show more content…
The episode begins in the acute care facility then moved to inpatient skilled nursing care facility (SNF), inpatient rehabilitation facility (IRF) and finally to a long-term care hospital (LTCH), or home health agency (HHA). Care related to all the episodes are covered under Medicare Part A and Part B within 30, 60, or 90 days following initiation of post-acute services (CMS, 2014)
The Comprehensive Care for Joint Replacement (CJR) model
The Comprehensive Care for Joint Replacement (CJR) model is one of the CMS models, started on April 1, 2016 and run through December 31, 2020. The model, comes under the category, Episode -based payment initiatives. The purpose of this model is to provide a better support to the Medicare beneficiaries those who undergo inpatient hip and joint replacement surgeries. …show more content…
K., Harty, J. H., and Bosco, J. A. (2017). It Is a Brave New World: Alternative
Payment Models and Value Creation in Total Joint Arthroplasty: Creating Value for TJR,
Quality and Cost-Effectiveness Programs. The Journal of Arthroplasty, 32(6), 1717-
1719. Doi: https://doi.org/10.1016/j.arth.2017.02.013
Comprehensive Care for Joint Replacement Model. Retrieved from https://innovation.cms.gov/initiatives/cjr Mclawhorn, A. S., and Buller, L. T. (2017). Bundled Payments in Total Joint Replacement:
Keeping Our Care Affordable and High in Quality. Current Reviews in Musculoskeletal
Medicine, 10(3), 370-377. Doi: https://doi.org/10.1007/s12178-017-9423-6
Siddiqi, A., White, P. B., Mistry, J. B., Gwam, C. U., Nace, J., Mont, M. A., and Delanois, R. E.
(2017). Effect of Bundled Payments and Health Care Reform as Alternative Payment
Models in Total Joint Arthroplasty: A Clinical Review. The Journal of Arthroplasty,
32(8), 2590-2597. Doi: https://doi.org/10.1016/j.arth.2017.03.027
Sullivan, R., Jarvis, L. D., O’Gara, T., Langfitt, M. and Emory, C. (2017). Bundled payments in total joint arthroplasty and spine surgery. Current Reviews in Musculoskeletal Medicine,
10(2), 218-223. Doi:
Introduction
Healthcare system is complex and challenging. It needs to be reformed overcome the challenges in terms of cost of treatment. Transformation of the payment system is essential to improve the quality and efficiency of the care. Transformation of the healthcare system including payment system will help to provide the right care at right time in the right healthcare setting. Besides these, it helps the people to stay healthy and prevent common, avoidable complications of illnesses to great extent. In this essay I will discuss about a comprehensive care for joint replacement model, a new model of care and payment mechanism, its influence on cost of care, systems of care, how to access …show more content…
The episode begins in the acute care facility then moved to inpatient skilled nursing care facility (SNF), inpatient rehabilitation facility (IRF) and finally to a long-term care hospital (LTCH), or home health agency (HHA). Care related to all the episodes are covered under Medicare Part A and Part B within 30, 60, or 90 days following initiation of post-acute services (CMS, 2014)
The Comprehensive Care for Joint Replacement (CJR) model
The Comprehensive Care for Joint Replacement (CJR) model is one of the CMS models, started on April 1, 2016 and run through December 31, 2020. The model, comes under the category, Episode -based payment initiatives. The purpose of this model is to provide a better support to the Medicare beneficiaries those who undergo inpatient hip and joint replacement surgeries. …show more content…
K., Harty, J. H., and Bosco, J. A. (2017). It Is a Brave New World: Alternative
Payment Models and Value Creation in Total Joint Arthroplasty: Creating Value for TJR,
Quality and Cost-Effectiveness Programs. The Journal of Arthroplasty, 32(6), 1717-
1719. Doi: https://doi.org/10.1016/j.arth.2017.02.013
Comprehensive Care for Joint Replacement Model. Retrieved from https://innovation.cms.gov/initiatives/cjr Mclawhorn, A. S., and Buller, L. T. (2017). Bundled Payments in Total Joint Replacement:
Keeping Our Care Affordable and High in Quality. Current Reviews in Musculoskeletal
Medicine, 10(3), 370-377. Doi: https://doi.org/10.1007/s12178-017-9423-6
Siddiqi, A., White, P. B., Mistry, J. B., Gwam, C. U., Nace, J., Mont, M. A., and Delanois, R. E.
(2017). Effect of Bundled Payments and Health Care Reform as Alternative Payment
Models in Total Joint Arthroplasty: A Clinical Review. The Journal of Arthroplasty,
32(8), 2590-2597. Doi: https://doi.org/10.1016/j.arth.2017.03.027
Sullivan, R., Jarvis, L. D., O’Gara, T., Langfitt, M. and Emory, C. (2017). Bundled payments in total joint arthroplasty and spine surgery. Current Reviews in Musculoskeletal Medicine,
10(2), 218-223. Doi: