The PEBTF Total Joint Bundled Payment Pilot

Sixty-nine patients took part in PEBTF’s yearlong bundled payment pilot and the experience yielded meaningful lessons, described in detail throughout this case study. Under the bundled payment program for total hip and total knee replacements:

• The hospital facility and orthopedic practice involved instituted a robust and highly collaborative program of care improvement
• Patients’ own evaluations of their care were largely positive
• Outpatient went down an average of $4,189

This paper will discuss the methods involved, program results and PEBTF conclusions, with an emphasis on the rather dramatic care process improvements achieved by the participating facility and the Orthopedic Institute of Pennsylvania, and their potential implications for value-based payment going forward.