"I haven't seen any
providers really fail at
these programs," he
adds. "They might not
perform well in the
first year, but then
they get very specific
guidance where quali-
ty wasn't good
enough, where costs
were too high. They
have the opportunity
to improve in those
areas. It's data they didn't have before."
Some experts worry about providers turning away high-risk patients
because they might exceed the bundled amount and affect their per-
formance metrics. Mr. Uba says that shouldn't be a consideration.
"The economic component of it is fairly separate. Either a patient's a
good candidate for outpatient joints, or they're not," he says. "You
could make the counterargument too: Given the enhanced reimburse-
ment, are you doing cases you shouldn't because you're motivated by
getting paid more? You have to go into it making quality, outcomes
and patient safety top priorities."
OSM
5 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 9
• HOME STYLE After discharge, Excelsior Orthopedics patients are sent to a nearby
high-end condo — paid for by the bundle — where their recovery can be closely
monitored.
Excelsior
Orthopedics
