(I also posted this under my last blog entry on the ACA)

One concrete thing that all occupational therapy practitioners can be doing as health care reform implementation is shaking out is to assume responsibility for "environmental scanning."

I get daily emails from "The Advisory Board Company" and here is a story on two large employers (Walmart and Loews) who have entered into a bundled payment arrangement.

"The companies joined the Pacific Business Group on Health (PBGH) Negotiating Alliance to create the Employers Centers for Excellence Network, which will offer no-cost knee- and hip-replacement surgeries for more than 1.5 million employees and their dependents at:

    Johns Hopkins Bayview Medical Center in Baltimore;
    Kaiser Permanente Orange County Irvine Medical Center in Irvine, Calif.;
    Mercy Hospital in Springfield, Mo.; and
    Virginia Mason Medical Center in Seattle."

If I were an OT practitioner at any of these organizations I would want to be sure and be on the ball with best practice standards of care for patients with these diagnoses!

http://www.advisory.com/Daily-Briefing/2013/10/09/Walmart-Lowes-enter-bundled-pay-deal-with-four-health-systems

Here is a bundled payment tracker from the Advisory Board;

http://www.advisory.com/Research/Health-Care-Advisory-Board/Resources/2013/Commercial-Bundled-Payment-Tracker