Becker's Spine Review

Becker's Spine Review Jan/Feb 2017

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36 HEALTHCARE NEWS Henry Ford Health System Drops Out of Medicare Bundled Payments for Joint Replacement: 5 Key Notes By Laura Dyrda H enry Ford Health System in Detroit joined Medicare's bundled payment pilot in 2013, but the hospital recent- ly announced it will no longer participate in the program, according to a Crain's Detroit Business report. Here are five key notes: 1. ree hospitals from Henry Ford Health System participated in the first phase of the Medicare bundled payment programs, but dropped out when it became clear the finan- cial targets were changing. Additionally, about one-third of the services for the bundle were conducted outside of the Henry Ford system. 2. The three participating hospitals — Henry Ford West Bloomfield Hospital in Bloomfield Township, Mich., Henry Ford Wyandotte (Mich.) Hospital and Clinton, Mich.-based Henry Ford Macomb Hospi- tal — reported around 650 hip and knee replacements annually in the bundled pay- ment program. 3. It became difficult for Henry Ford to con- trol the cost of care provided outside the health system, and patients needing urgent care didn't always stay within the system. When care costs more than the target price, the hospital pays the difference. 4. e Kalamazoo, Mich.-based Borgess Health; Muskegon, Mich.-based Mercy Health Partners; and St. Mary's Health Ser- vices in Grand Rapids, Mich., moved on to participate in the Medicare model 2 bundled payment program. Orthopedic Associates of Grand Rapids (Mich.) PC, a physician prac- tice, also remains in the Medicare bundled payment program. Aer hospitals bill Medi- care on a fee-for-service basis for the 90-day episode of care, Medicare reconciles the pay- ment by comparing prices. Providers that de- liver care for under the target price keep the difference. 5. During the first 21 months of the CMS Bundled Payments for Care Improvement initiatives, the hospitals participating lowered Medicare payments for lower extremity joint replacements by $1,166 more than at hospi- tals that didn't participate in BPCI, according to a JAMA study. n President-elect Donald Trump Taps Dr. Ben Carson to Join Cabinet as Housing Secretary: 6 Things to Know By Megan Wood P resident-elect Donald Trump called on Ben Carson, MD, to join his cabinet, despite the retired neurosurgeon's initial hesita- tion, according to Los Angeles Times. Here are six things to know: 1. President-elect Trump selected Dr. Carson to head the Department of Housing and Urban Development. 2. In a statement, President-elect Trump praised Dr. Carson's "brilliant mind" and noted he is "passionate about strengthening communi- ties and families within those communities," as reported in the Los Angeles Times. 3. Dr. Carson has reportedly discussed President-elect Trump's urban renewal agenda, with a focus on economic revival, "very much includ- ing our inner cities," according to President-elect Trump's statement reported by the Los Angeles Times. 4. Although initially saying he didn't possess the necessary experi- ence to head a federal agency, Dr. Carson opened up to the possibil- ity as President-elect Trump encouraged the appointment. 5. A former Republican presidential candidate, Dr. Carson dropped out on March 4, 2016, due to poor results on Super Tuesday. 6. He served as director of pediatric neurosurgery at Johns Hopkins Hospital in Baltimore before his retirement in 2013. n Dr. Allan Friedman Performs Spine Surgery on Duke's Mike Krzyzewski By Laura Dyrda Durham, N.C.-based Duke University Head Men's Basketball Coach Mike Kzyzewski under- went spine surgery, according to Duke Sports Information, and Allan Friedman, MD, is sched- uled to perform the procedure. Dr. Friedman has been working with Mr. Krzyze- wski for several weeks to manage symptoms associated with his back pain. Nonoperative techniques failed to resolve Mr. Krzyzewski's pain and he decided to undergo surgery. Mr. Krzyzewski is expected to spend at least four weeks recovering from the procedure. Duke's Associate Head Coach Jeff Capel will assume Mr. Krzyzewski's coaching responsibilities until he is cleared to return to the court. The procedure removed a fragment of a herni- ated disc in Mr. Krzyzewski's back. Dr. Friedman is the Guy L. Odom Professor of Neurological Surgery and deputy director of The Preston Robert Tisch Brain Tumor Center at Duke. Dr. Friedman earned his medical degree at Chicago-based University of Illinois College of Medicine and completed his neurosurgery residency at Duke University Medical Center. n

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