Florida Blue and Mayo Clinic are extending their knee replacement bundled payment agreement, introduced in 2012, for Florida Blue’s members, according to Florida Blue.
They are also extending their overall network agreement to include thousands of Florida Blue’s commercially insured members throughout the state who are now able to access Mayo Clinic as an in-network provider.
According to the AHRQ, healthcare professionals perform more than 600,000 knee replacements annually in the United States, making it the most common joint replacement procedure. It involves many individual medical procedures and processes, and when done separately, it can be very expensive. The Mayo Clinic-Florida Blue bundled payment agreement offers the bundled services at one cost, and within the first year, more than 60 members benefitted from it.
To learn more about Florida Blue members’ experiences with the Florida Blue-Mayo Clinic knee replacement bundled payment program, you can view the video that highlights the partnership between the two organizations.
Source: Florida Blue, December 16, 2013
Blueprint for Bundled Payments: Strategies for Payors and Providers provides perspectives on payment bundling, including definitions of key elements, advice for payors and providers, what’s ahead in bundled payments for primary care, and examples of the payment model at work in one organization.