NJ Bundled Payment Approach Better for Physicians than Mandatory Federal Program

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Christopher Cheney, October 19, 2015

New Jersey’s Blue Cross Blue Shield affiliate is taking a cooperative approach to episodes-of-care contracting with orthopedic surgeons and other medical service lines, generating care benefits for patients and sustainable financing for healthcare providers.

With Medicare making many hip and knee replacement procedures subject to mandatory bundled-payment contracting, Horizon Blue Cross Blue Shield of New Jersey has created a bundled-payment offer that is far more attractive to physicians.

“Horizon actively engaged the physicians first—before initiating the program,” says Stephen Zabinski, MD, a practicing surgeon at Shore Orthopaedic University Associates and co-author of a January 2015 bundled-payments report in The Journal of Arthroplasty.

20150618-jw0a0489rtZabinski’s Somers Point, NJ-based practice is one of five charter members of the bundled-payments program for hip and knee replacements that began at Horizon about five years ago, according to Lili Brillstein, Horizon’s episodes of care program director. “It has changed the nature of the relationship. I’ve heard a lot of doctors say they have a lot of satisfaction with the Horizon program,” she says.”It’s been a positive experience working with them,” he told me.
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Dizziness: Increased Risk for Fractures

Dizziness is a common problem that can affect a person at any age. There are many reasons for dizziness, some more serious than others. One common, easily treatable cause of transient dizziness is called “benign paroxysmal positional vertigo,” or BPPV. Benign paroxysmal positional vertigo causes dizziness related to head movement and position and is due to a problem in the inner ear. Dizziness can negatively affect one’s quality of life and is associated with an increased risk of falls. This may be especially problematic for older people, who have a greater chance of falling and breaking bones. Recovering from a fracture can be particularly difficult for someone who is elderly.

Fracture

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Dr. Zabinski speaks at Margate’s JCC SENIOR EXPO

Guest Speaker: Stephen J. Zabinski, MD
SHORE ORTHOPAEDIC 
UNIVERSITY ASSOCIATES
“Minimally Invasive Total Joint Replacement: Getting You Back to What You Love to Do.”

A LIFESTYLE, HEALTH AND ACTIVE AGING EXPO FOR ADULTS 50+

The Milton & Betty Katz JCC and the Greater Atlantic City Chamber announce the return of the Senior & Adult Expo on Thursday, October 1, from 10 a.m. to 2 p.m. at the Katz Jewish Community Center.

The Milton & Betty Katz JCC and the Greater Atlantic City Chamber Senior & Adult Expo in partnership with Shore Medical Center has become the largest active adult health and wellness exhibit in New Jersey. Its focus on lifestyle and active aging for baby boomers and seniors has reached more than 3,000 adults, seniors and caregivers each year in its eight-year history.
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