Payment Model Guides
In the evolving era of value-based care, there are many alternative payment models that deviate from the traditional fee-for-service system. These alternative financial arrangements aim to either reduce costs or increase quality. APMs are becoming more popular and will continue to expand and evolve as we transition out of a fee-for-service payment model. Understanding the program design and target metrics is critical to success when entering into an APM. Learn more about the inner workings of some of the most popular APMs in today’s market.
Payment Model Guides
- Understanding the ASC Patient-Reported Outcome Performance Measure Brochure
Explore this brochure as your ASC's go-to guide for all things PRO-PM, your key to excelling in CMS' THA/TKA PRO performance measure reporting.
- Understanding the HOPD Patient-Reported Outcome Performance Measure Brochure
Unlock CMS' THA/TKA PRO performance measure reporting mastery with this dedicated HOPD-specific brochure.
- Understanding the Inpatient Patient-Reported Outcome Performance Measure Whitepaper
This whitepaper is your dedicated source for all things PRO-PM – your ticket to acing CMS' THA/TKA PRO performance measure reporting.
- Simplify AAOS Submission
- A Guide to Orthopedic Payment Models: MIPS, APMs, Bundles, and More
How can organizations and providers achieve the best possible patient outcomes for the lowest cost? Find out with CODE's Guide to Orthopedic Payment Models.
- CJR Simplified. A Practical Guide to Understanding & Preparing for CJR
The basic idea behind Comprehensive Care for Joint Replacement (CJR) is that Medicare will begin paying hospitals based on a ‘target price’ for joint replacement services. Understanding how the system works is a must & exactly what you'll get by reviewing this guide.
Payment Model Blog Posts
What does it take to achieve Advanced Certification? Great News! Your department set a goal to achieve Advanced Certification for Orthopedic...
United offers employees cheaper hip, knee replacements if they travel to Chicago's Rush “Chicago-based United joins a group of large employers...
Types of Bundled Payments Episode-based payment, evidence-based case rate, and global bundled payment, among others, are all different terms used...
How can you prepare for bundled payments for the spine? Hospitals have successfully implemented bundled payments for hip and knee replacements, and...
5 Trends Affecting Surgical Practices - Digital Health, Patient Education, and More Many practices are very busy switching over to ICD-10 or...
Schedule A Call With a PRO Expert!
Need more help with your PRO related questions? CODE can help! Schedule a call with a CODE expert today to get you on your way to better harnessing your patient reported outcomes.