P82. Multi-level procedures and interbody fusions require target price adjustment to build a sustainable lumbar fusion bundled payment model

Mark J. Lambrechts,Tariq Z. Issa,Yunsoo Lee,Nicholas D'Antonio,Matthew Sherman,Kevin Endersby,Patrick Ioffreda,Andrew Kalra,Jose Canseco,Alan S. Hilibrand,Alexander R. Vaccaro,Gregory D. Schroeder,Christopher K. Kepler

The spine journal : official journal of the North American Spine Society（2023）

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摘要

Interbody fusions, especially circumferential fusions, and multi-level procedures are not adequately risk adjusted by current bundled payment models. Health systems may not be able to financially support these alternative payment models with improved procedure-specific risk adjustment.

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关键词

Bundled payments, Costs, High-value care, Lumbar fusion, Private payer, Reimbursement, Spine, Value-based care

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