Total Joints: Bundled Payments Driving Procedural Innovation

Last year, the musculoskeletal industry was rocked by a wave of consolidation when major orthopedic heavyweights combined forces. First, Zimmer merged with Biomet in a deal valued at $13.35 billion, and Wright Medical Group Inc. teamed up with Tornier NV in a $3.3 billion all-stock transaction. [See Deal][See Deal] Now that the aftershocks have subsided and the industry has largely recovered, the topic at this year’s American Academy of Orthopedic Surgeons (AAOS) Annual Meeting in Orlando turned to the impact new government initiatives, with the mantra of improving quality and reducing costs, would have on the delivery of orthopedic care. More specifically, the conversation centered on the Centers for Medicare & Medicaid Services' (CMS') new bundled payment program called the Comprehensive Care for Joint Replacement Model (CCJR)