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Bundled payments allow for knee, hip and shoulder replacement care to be delivered for a single-fixed price that includes all aspects of the episode of care including the surgeon’s fee, anesthesiologist’s fee, facility fee, implant cost and all other durable medical equipment associated with surgery, postoperative visiting nursing/therapy care and outpatient physical therapy. Bundled payments represents a better way to deliver joint replacement care in the outpatient setting as they provide a higher level of personalized care at a fraction of the cost and with much less administrative overhead.


Our A.V.A.T.A.R™ Bundled Solutions can managed bundled payments for knee, hip and shoulder replacement including navigation of the patient through the care process and payment of all allied providers associated with the care episode. We work with commercial health insurance carriers, conveners, health sharing programs such as ministries, and can work directly with self-insured companies, health plan design consultants and any other entity interested in pursuing bundled payments.

A.V.A.T.A.R™ Bundled Solutions can also arrange for destination surgery for patients travelling from a distance to include Canadian patients. This includes travel coordination and postoperative care to include physical therapy before return home.

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Practice Information

Moby Parsons, M.D.

333 Borthwick Avenue
Suite 301
Portsmouth, NH 03801

Hours: Monday To Friday, 7:30am – 4:30pm

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