Blue Cross & Blue Shield of Rhode Island (BCBSRI) is pleased to announce it has entered into a innovative arrangement with South County Hospital and South County Orthopedics & Physical Therapy that recognizes and rewards quality outcomes and patient experience in knee and hip replacements. Called a “bundled payment model,” it is designed to coordinate all aspects of a patient’s care, including surgery, primary care, radiology, hospital services, pharmacy and physical therapy.
Already a leader in providing quality knee and hip replacement procedures, South County Hospital and South County Orthopedics have agreed with BCBSRI on key quality metrics, clinical best practices and an overall cost for a full suite of services. This initiative will encourage further coordination of care among clinicians.
The bundled payment model is becoming more prominent in the healthcare industry and is viewed as an effective way to improve quality while controlling costs, particularly with joint replacement procedures. By providing incentives for quality outcomes and efficient use of healthcare dollars, this approach is intended to lower the overall cost of care and support more collaboration among providers.
“We are excited to announce this innovative partnership and payment arrangement, which is a prime example of the broader changes that BCBSRI and our provider partners are working toward each day,” said Peter Andruszkiewicz, president and CEO for BCBSRI. “Providers like South County are creating care models that address fragmentation and benefit from new financial incentives where all providers – physician, hospital, radiology, physical therapy and others – are working with a patient’s primary care physician to manage the patient experience and cost for a total, end-to-end care experience.”
“South County Hospital and its clinicians see the value of treating our patients in a way that considers their entire care experience,” said Lou Giancola, President. “We are pleased that our quality is being recognized this way by Blue Cross & Blue Shield of Rhode Island, and to be at the forefront of participating in this innovative model of care that is based on patient outcome.”
“Being at the forefront of orthopedic and sports medicine in Rhode Island means thinking differently about how that care is provided,” said Robert Marchand, MD, President of South County Orthopedics. “The bundled payment initiative ensures the coordinated approach we believe patients deserve, from the very first appointment through recovery.”
The new bundled payment and coordinated care model became available on October 1, 2013 for all BCBSRI members who receive knee and hip replacements at South County Hospital.
Blue Cross & Blue Shield of Rhode Island is the state’s leading health insurer and covers more than 600,000 members. The company is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit www.bcbsri.com and follow us on Twitter @BCBSRI.
About South County Hospital
South County Hospital Healthcare System (SCHHS) is a full-service healthcare resource, providing a comprehensive range of advanced inpatient, outpatient and home health services. At the center of SCHHS is South County Hospital, an independent, non-profit hospital offering the latest advances in technology and surgical services. Our modern facilities include all private patient rooms for the comfort of our patients and their families. For more information, go to www.schospital.com.
About South County Orthopedics
South County Orthopedics is Rhode Island’s leading provider of orthopedics, sports medicine, physical therapy, and sports performance training that is dedicated to “making you better.” Our board certified surgeons are known as some of the most innovative, utilizing the latest orthopedic surgical techniques and technological advances which has lead us to a record of superior outcomes since 1976. Our practice is known across the state as being committed to a coordinated, patient-centered experience from diagnosis to treatment to rehabilitation. For more information, go to www.scortho.com.