Table 2 TRICARE price standardized and case mix adjusted payments by payment bucket for simulated 90-day episodes of care after cervical and non-cervical spinal fusion
From: Strategies for spinal surgery reimbursement: bundling in the working-age population
Simulated Bundle | Payment Bucket | Quintile | Difference* | ||||
|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |||
Cervical 90-day Episode of Care | Index Hospitalization | $11,033 | $11,673 | $12,411 | $13,670 | $19,960 | $8927 |
Readmissions | $0 | $0 | $8912 | $9786 | $11,522 | $11,522 | |
Hospital Professional Fees | $5027 | $5752 | $6274 | $6898 | $8056 | $3029 | |
Post-acute Care | $399 | $571 | $702 | $959 | $2070 | $1672 | |
Non-Cervical 90-day Episode of Care | Index Hospitalization | $18,565 | $21,372 | $22,772 | $25,749 | $36,844 | $18,278 |
Readmissions | $0 | $7373 | $8618 | $10,120 | $13,933 | $13,933 | |
Physician Fees | $6435 | $7327 | $7797 | $8291 | $9538 | $3103 | |
Post-acute Care | $557 | $851 | $1153 | $1540 | $2985 | $2427 | |