Since 2015, Blue Cross & Blue Shield of Mississippi and its Outpatient Orthopaedic Centers of Excellence have partnered to offer total joint replacement in the ambulatory outpatient setting. This innovative care model supports clinical advancements adopted by these Network Providers and includes a value-based, episode of care payment model that places the focus on the patient and the quality of care provided.

“Through the partnerships with Mississippi Sports Medicine and Columbus Orthopaedic, we have seen improvements in the quality of care being delivered, with fewer complications and readmissions,” says Dr. Tom Fenter, Chief Medical Officer at Blue Cross & Blue Shield of Mississippi.  

Data collected since the first outpatient procedures clearly shows the benefits of this care model.

“Through the outcomes data and analytics that our physical therapy produces, we are offering outpatient total hip and total knee and spine surgery with excellent outcomes, pain control, and return to work and activities all at half the cost to our patients and include lab, therapy and anesthesia,” says Dr. Scott Jones, Orthopedic Surgeon at Columbus Orthopaedic Clinic and Outpatient Center.    

Traditionally, total hip and knee replacement surgeries are performed in an inpatient, hospital setting and require up to three days of recovery in the hospital. Now, through the total joint replacement healthcare delivery model, patients are able to have an optimal surgery experience with quality outcomes and begin recovery at home all within the same day.

“With two years of data behind us, we can clearly show that total joints done in an ambulatory outpatient setting offer both excellent patient outcomes and reduced cost to the consumer all while recovering from major surgery in the comfort and privacy of home,” says Glen Silverman, Chief Executive Officer at Mississippi Sports Medicine.    

Following discharge, the patient’s treatment plan continues and may include home healthcare services and/or outpatient physical therapy.  Patients also receive frequent communication from a designated Joint Care Coordinator who is in direct, constant communication with the healthcare team.

Available to Blue Cross and Blue Shield patients, the total joint replacement healthcare delivery model is now available to State of Mississippi Health Plan participants as well.