Mandatory bundled payment getting into formation for value-based care.
نویسنده
چکیده
Succeeding under Medicare's enterprise Comprehensive Care for Joint Replacement Model will require collaboration among caregivers and financial arrangements to align incentives Priorities for most organization's transition to becoming a value-based hospitals will be care redesign, supply-purchasing strategy, and post-acute care provider partnering. Pursuing value for your joint replacement program will chart a path for other service lines and lead your organization's transition to becoming a value-based enterprise.
منابع مشابه
Bundled Payment for Physician Group Practices and Organized Delivery Systems.
The U.S. healthcare industry, spurred by 1) actions taken by the federal government and 2) widespread opinion that the current rate of increase in healthcare expenditures is unsustainable, has turned towards value-based purchasing as an aid to control costs and retain quality of care. One type of value-based purchasing, bundled payment reimbursement, involves having the payor of healthcare serv...
متن کاملCost of Joint Replacement Using Bundled Payment Models.
Importance Medicare launched the mandatory Comprehensive Care for Joint Replacement bundled payment model in 67 urban areas for approximately 800 hospitals following its experience in the voluntary Acute Care Episodes (ACE) and Bundled Payments for Care Improvement (BPCI) demonstration projects. Little information from ACE and BPCI exists to guide hospitals in redesigning care for mandatory joi...
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In recent years there has been strong interest in episode-of-care (EOC) payment for physicians and hospitals as a replacement for fragmented, fee-for-service reimbursement. Medicare’s DRG method for hospitals can be interpreted as the nation’s first bundled payment, though it covers neither physician services nor post-acute services administered after discharge. Medicare’s Acute Care Episode (A...
متن کاملBetter Patient Care At High-Quality Hospitals May Save Medicare Money And Bolster Episode-Based Payment Models.
US policy makers are making efforts to simultaneously improve the quality of and reduce spending on health care through alternative payment models such as bundled payment. Bundled payment models are predicated on the theory that aligning financial incentives for all providers across an episode of care will lower health care spending while improving quality. Whether this is true remains unknown....
متن کاملThe Theory of Value‐Based Payment Incentives and Their Application to Health Care
OBJECTIVES To present the implications of agency theory in microeconomics, augmented by behavioral economics, for different methods of value-based payment in health care; and to derive a set of future research questions and policy recommendations based on that conceptual analysis. DATA SOURCES Original literature of agency theory, and secondarily behavioral economics, combined with applied re...
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عنوان ژورنال:
- Healthcare financial management : journal of the Healthcare Financial Management Association
دوره 69 10 شماره
صفحات -
تاریخ انتشار 2015