Bundle Payment & Incentive Programs
We strive to make office visits run smoothly for our patients. Below you will find a variety of resources for new patients, as well as our office policies.
Bundle Payment & Incentive Programs
For the past two years, Chatham Orthopaedic Associates has voluntarily participated in a program with the Centers for Medicare & Medicaid Services (CMS). The program is known as the Bundled Payments for Care Improvement Advanced model (BPCI Advanced). Medicare anticipates requiring all providers participate in this model with an estimated start date of 2024.
You may be asking, what is a bundled payment program? A bundled payment program combines or bundles together, payments that insurance plans make to health care providers for the many different kinds of medical services patients might receive during their care. This time period could include a hospital inpatient stay or an outpatient procedure, plus 90 days.
In the bundled payment programs, hospitals, doctors, and other health care providers may benefit from providing better, more coordinated health care. Other major insurance carriers are also implementing performance programs that ultimately reward providers based on site of service, cost efficiency and patient outcomes following Medicare’s lead. In some instances, insurance plans may require certain orthopaedic procedures be accomplished in an Ambulatory Surgery Center (ASC) rather than in a hospital setting for medically appropriate patients. No matter where the procedure takes place, the insurance plans will monitor participants closely to make sure that their patients receive efficient, high quality care.
By participating in bundled and other performance programs now, the physicians at Chatham Orthopaedic Associates are taking the necessary steps to prepare for the healthcare changes ahead. Rest assured that our number one goal will always be to provide you with the highest quality of care you expect and deserve.
For more information, please contact: Kimberly Slatkovsky at (912) 525-1299.