Outpatient Surgery Magazine

A Drug Diverter Comes Clean - Subscribe to Outpatient Surgery Magazine - December 2017

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • D E C E M B E R 2 0 1 7 I 'm not sure which idea scared and excited us more — open- ing our own surgical center, performing same-day joint replacements or form- ing our own management company in order to create and oversee bundled payments for our total joint cases. This was in 2015, when same-day joint replacement and the movement away from fee-for-ser- vice and toward value-based payment was just starting to take hold. Creating a system where the surgeons doing the procedures are the same ones overseeing the payments? That was almost unheard of. But the 4 of us orthopedic surgeons, Frank Aluisio, MD, Frank Rowan, MD, Matt Olin, MD, and I saw these megatrends looming on the hori- zon, and we wanted to get out in front of them. We formed Delta Joint Management and off we went. Since Delta opened in August, we've performed 80 total joint surger- ies. We expect to do 200 next year and keep doubling it after that. How We Negotiated Our Own Bundled Payments for Total Joints These surgeons saw the coming of same-day joints and value-based payments. Stephen Lucey, MD | Greensboro, N.C. • CALLING THE SHOTS Orthopedic surgeon Stephen Lucey, MD (far left) and his colleagues own a surgery center and oversee their own total joint bundled payments. Delta Joint Management

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