The Surgical Hip and Femur Fracture Treatment Model: Medicare's Next Orthopaedic Bundle.

Abstract

* The Centers for Medicare & Medicaid Services (CMS) has created alternative, innovative payment models to address the rising health-care costs in the United States.* Bundled-payment programs are intended to improve care delivery by shifting financial risk to providers, which requires optimizing resource utilization and providing more-coordinated, higher-quality care.* CMS has recently announced a proposed payment model for episodes of care surrounding surgical hip/femur fracture treatment (SHFFT) excluding lower-extremity joint replacement.* The provisions and implications of the proposed SHFFT bundle are complex and will require substantial investments of time, cost, and effort for selected hospitals and providers.