Bundled Payments in Orthopedic Surgery: February 2015

Bundled Payments in Orthopedic Surgery: February 2015



Bundled Payments in Orthopedic Surgery

Brandon D. Bushnell, MD, MBA

Sponsorship Statement: This CME activity is jointly sponsored by Keck School of Medicine of USC and SLACK Incorporated.

Support Statement: There is no commercial support for this activity.

Educational Objectives 

As a result of reading this article, physicians should be able to:

1. Describe the concept of bundled payments and the potential applications of bundled payments in orthopedic surgery.

2. For specific situations, outline a clinical episode of care, determine the participants in a bundling situation, and define care protocols and pathways.

3. Recognize the importance of resource utilization management, quality outcome measurement, and combined economic-clinical value in determining the value of bundled payment arrangements.

4. Identify the implications of bundled payments for practicing orthopedists, as well as the legal issues and potential future directions of this increasingly popular alternative payment method.

Reviewer names: Robert D. D’Ambrosia, MD, Editor-in-Chief, Orthopedics; Albert Aboulafia, MD, CME Editor, Orthopedics

Disclosure statement: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of the CME-accredited article in this issue and also on this page.

Faculty members report the following financial relationships:

Robert D. D’Ambrosia, MD, has no relevant financial relationships to disclose.

Albert Aboulafia, MD, has no relevant financial relationships to disclose.

Dr Bushnell’s institution has received consulting fees from Mitek Sports Medicine.

The staff of Keck School of Medicine of USC and Orthopedics have no relevant financial relationships to disclose.

Signed disclosures are on file at Keck School of Medicine of USC.

Accreditation statements: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Keck School of Medicine of USC and SLACK Incorporated. The Keck School of Medicine of USC is accredited by the ACCME to provide continuing medical education for physicians.

Credit designation: The Keck School of Medicine of USC designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release date: February 1, 2015.

Expiration date: March 1, 2018.

How to participate: To participate in this CME activity, you must read the educational objectives, log-in to, pay for the activity ($20.00), answer the pretest questions, read the article[s], complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 80% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, you will receive a certificate by email, issued by Keck School of Medicine of USC, for 1 AMA PRA Category 1 Credit™.

Payment information: The cost of gaining access to the content of this activity and completing the quiz is $20.00. Upon receipt of payment, you will receive access to the activity. Your credit card will be charged whether or not you complete quiz submission and receive a certificate. There are no refunds of any kind once you submit your credit card information to gain access to the activity.

Target audience: This CME activity is primarily targeted to orthopedic surgeons, hand surgeons, head and neck surgeons, trauma surgeons, physical medicine specialists, and rheumatologists. There is no specific background requirement for participants taking this activity.

Unlabeled and investigational usage statement: The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage. 

Copyright statement: Copyright © 2015 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher.


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