Bundled Payment Case Study

Bundled Payment Case Study

This document serves as a case study for a Bundled Payment Pilot that began in February 2011. In addition to generally providing a blueprint for implementing a Total Knee Replacement (TKR) Bundled Payment Pilot, this document will also provide some insights on many of the major decision points that a pilot site can make during the pre-implementation phase. These decision points include, but are not limited to, deciding on the TKR bundle, engagement of providers, analysis of TKR claims data, creating the deal and the gainsharing mechanism, the manual reporting process, and confirming the deal. These decisions and options can be studied and expanded on and, with some modifications, applied to other Bundled Payment Pilots as well.