Evaluating the Success of the National Bundle Payment Program for Osteoarthritis

Speaker(s)

Vutova Y1, Djambazov S2, Dacheva A3, Slavchev G4
1HTA Ltd., Sofia, 22, Bulgaria, 2Medical University Pleven, Sofia, 23, Bulgaria, 3Medtronic International Trading Sàrl, Sofia, 23, Bulgaria, 4Medtronic International Trading Sàrl, Sofia, 22, Bulgaria

OBJECTIVES: This abstract focuses on the evaluation of the success of a national bundle payment program for osteoarthritis (OA) in improving healthcare outcomes and controlling costs. The objectives are to outline the evaluation criteria, describe the methods for assessing program success, present the results of the evaluation, and draw conclusions regarding the program's effectiveness.

METHODS: A comprehensive evaluation framework was developed to assess the success of the national bundle payment program for OA. The framework incorporated qualitative and quantitative measures, including patient outcomes, care coordination, healthcare utilization, cost containment, and provider satisfaction. Data sources such as claims databases, electronic health records, patient surveys, and stakeholder interviews were utilized to gather relevant information. Statistical analyses, including descriptive statistics and regression models, were employed to analyze the data and measure program performance.

RESULTS: The evaluation of the national bundle payment program for OA revealed promising results. Improved patient outcomes, including reduced pain, improved physical function, and increased patient satisfaction, were observed. Care coordination and care transitions were enhanced through the adoption of care pathways and multidisciplinary team collaboration. Healthcare utilization demonstrated a shift towards appropriate and evidence-based practices, resulting in reduced hospital readmissions and emergency department visits. Additionally, the program exhibited cost-containment effects through reduced overall healthcare expenditures and decreased variations in treatment patterns.

CONCLUSIONS: These findings underscore the potential of bundle payment programs as an effective reimbursement model for OA management. Further expansion and refinement of the program, along with ongoing monitoring and evaluation, can contribute to its continued success and serve as a model for similar initiatives in other healthcare domains.

Code

HPR180

Topic

Health Policy & Regulatory

Topic Subcategory

Pricing Policy & Schemes, Public Spending & National Health Expenditures, Reimbursement & Access Policy, Risk-sharing Approaches

Disease

Musculoskeletal Disorders (Arthritis, Bone Disorders, Osteoporosis, Other Musculoskeletal), Surgery