October 26, 2017
ORLANDO, Fla. — Use of the CMS Bundled Payment for Care Improvement model in a private practice setting was not associated with significantly lower expenditures for lumbar spine fusion procedures, according to a presenter here.
“Overall, at our private practice, we were successful for [Bundled Payment for Care Improvement] BPCI,” Susan Odum, PhD, said during her presentation at the North American Spine Society Annual Meeting. “We believe that using [diagnosis-related groups] DRGs for lumbar fusion bundles is not ideal due to the relatively high variability and low volume. Future lumbar spine bundles should be designed by [current procedural terminology] CPT rather than DRG, and we hope to see that difference come to fruition. For this reason, we discontinued BPCI early for all spine DRGs”