Bundled Payments

Bundled payments effectively limit reimbursements making it important to control costs.

Claris Reflex helps maximize profits for those orthopedic centers covered by CMS Medicare CJR , BPCI , and private insurance bundled payment initiatives.

Now that orthopedic practices and hospitals are accountable for the quality and cost of knee replacements (including 90 days post-surgery) Claris Healthcare recognizes that controlling post-acute care costs is more important than ever.


Although the majority of acute care TKR costs are consistent and predictable from patient to patient – including pre-surgical testing and inpatient services including OR, anesthesiologist, implants, and hospital stay- Post-acute care costs can be highly variable based on the patient’s condition and compliance including outpatient care services (SNF or home care), readmissions, manual manipulation, and extended rehabilitation.


“Now that we are getting incentivized by our outcomes, Claris Reflex has been a really valuable tool to actually optimize our financial return in the business, and more importantly, the patient getting better quicker.”
Stefan Fletcher
90%Hospital & surgical costs
40%Post-acute care costs
90%Hospital & surgical costs
15%Post-acute care costs
PROFIT: $6000

With the average total Medicare payment for knee replacement at $25,565 and 39% being spent on post-acute care services, high-risk patients have a direct impact on profitability.

Better Manage Your Post-Acute Care Costs

Reduces Risk

Controls the variable costs of post-acute care

Improves patient compliance

Standardizes the patient experience pre and post surgery

Improves patient satisfaction scores (PROs) and HCAHPS

If you are one of the hospitals covered under CJR or orthopedic centers covered under BPCI then please contact us for an evaluation of your perioperative procedures to see if we can help you protect your profits.