October 2013
Contact: Center for Improving Value in Health Care
Email: ColoradoAPCD@civhc.org
Background: This healthcare provider had a goal to put together a bundled product for the market place for orthopedics utilizing claims data.
Goal: This healthcare provider wanted to be able to analyze de-identified medical claims data for total knee and hip replacements and spinal fusion surgery to evaluate opportunities to implement bundled payment as an alternative to fee-for-service for these procedures and to support negotiations with health plans.
Data Analyzed: Cost and utilization data for commercial population specifically looking at total knee and total hip procedures.
Results: In progress.