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
- 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
PROs in Joint Commission Advanced Certification
What does it take to achieve Advanced Certification? Great News! Your department set a goal to achieve Advanced Certification for Orthopedic...
Orthopedic Reimbursement: What’s Your Competitive Advantage?
United offers employees cheaper hip, knee replacements if they travel to Chicago's Rush “Chicago-based United joins a group of large employers...
Bundled Payments: What You Need to Know
Types of Bundled Payments Episode-based payment, evidence-based case rate, and global bundled payment, among others, are all different terms used...
Bundled Payments in Spine? How Providers can Prepare.
How can you prepare for bundled payments for the spine? Hospitals have successfully implemented bundled payments for hip and knee replacements, and...
5 Trends Putting the Squeeze on Surgical Practices
5 Trends Affecting Surgical Practices - Digital Health, Patient Education, and More Many practices are very busy switching over to ICD-10 or...
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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.