The Impact of Bundled Payment Initiatives in Orthopedic Surgery Access to Care: Cherry Picking and Lemon Dropping

This editorial explores the impact of bundled payment initiatives, specifically in the context of orthopedic surgery, on access to care. We examine the phenomenon of "cherry picking" healthier patients and "lemon dropping" higher-risk patients, potentially leading to disparities...

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Bibliographic Details
Published in:	Curēus (Palo Alto, CA) Vol. 16; no. 3; p. e57205
Main Author:	Lum, Zachary C
Format:	Journal Article
Language:	English
Published:	United States Cureus Inc 29-03-2024 Cureus
Subjects:	Ambulatory care Bone surgery Health care access Health Policy Orthopedics Patients Sociodemographics Sports Medicine Trends bundled payment for care improvement total hip arthroplasty total knee arthroplasty comprehensive cost for joint replacement cherry picking lemon dropping
Online Access:	Get full text
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Summary:	This editorial explores the impact of bundled payment initiatives, specifically in the context of orthopedic surgery, on access to care. We examine the phenomenon of "cherry picking" healthier patients and "lemon dropping" higher-risk patients, potentially leading to disparities in access and healthcare outcomes. We discuss recent studies investigating these concerns and highlight the need for more in-depth research to better understand the groups these policies may marginalize. Policymakers are urged to consider measures to protect disadvantaged patients and ensure equitable access to care, aligning with the principles of equality and diversity in healthcare.
Bibliography:	SourceType-Other Sources-1 content type line 63 ObjectType-Editorial-2 ObjectType-Commentary-1
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.57205