Open AccessIs There An Association Between Bundled Payments and “Cherry Picking” and “Lemon Dropping” in Orthopaedic Surgery? A Systematic Review
Author(s) -
David N. Bernstein,
Chanan Reitblat,
Victor A. van de Graaf,
Evan O’Donnell,
Lisa Philpotts,
Caroline B. Terwee,
Rudolf W. Poolman
Publication year - 2021
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/corr.0000000000001792
Subject(s) - medicine , reimbursement , medline , payment , orthopedic surgery , health care , systematic review , sports medicine , population , family medicine , physical therapy , surgery , finance , political science , law , economics , economic growth , environmental health
The goal of bundled payments-lump monetary sums designed to cover the full set of services needed to provide care for a condition or medical event-is to provide a reimbursement structure that incentivizes improved value for patients. There is concern that such a payment mechanism may lead to patient screening and denying or providing orthopaedic care to patients based on the number and severity of comorbid conditions present associated with complications after surgery. Currently, however, there is no clear consensus about whether such an association exists.