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It’s Time to Take Another Look at Spine Surgery Bundled Payment

As Sg2 members sift through Bundled Payment for Care Improvement Advanced (BPCI-A) data, and large employers and payers make plans to expand bundled payment programs, it’s time to revisit the role of bundles in the long-term strategy of a comprehensive spine program. Historically, spine bundles have seen slow adoption and low performance. Only 29 participants opted in to the BPCI spinal fusion (noncervical) opportunity, and a recent CMS publication evaluating BPCI reported no observable savings for the average episode.

As strategic priorities are assessed, programs addressing comprehensive payer strategies will be well-positioned for long-term success. And bundles can play an integral role in closing the value gap, offering benefits well beyond traditional episode cost savings.

Bundled Payment Evolution: Looking Beyond Episode Savings for Spine Bundles

Despite historical episode opportunity trends, some Sg2 members analyzing BPCI-A data are finding more post-acute care utilization and overall episode spend than anticipated, which could lead to savings for CMS and reconciliation payments to providers. In addition to episode savings opportunity, there are 4 factors to consider when assessing the strategic value of bundled payment in your comprehensive spine program. To learn more about these factors, as well as a set of “next steps” for spine surgery bundled payment, read the full Expert Insight. Not an Sg2 member? Contact us to learn more about how spine surgery bundled payment can help set the foundation for long-term success in your comprehensive spine care programs.

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