Bundled payments: brilliant idea or boondoggle?

Placing Bundled Payments in Perspective: A Survey of the New England Ophthalmological Society.

OBJECTIVE To determine ophthalmologists' views on the Medicare bundled payment model for specialty physicians in the outpatient setting. DESIGN AND METHODS The New England Ophthalmology Society (NEOS) was emailed an anonymous survey. Views of bundled payments and demographic characteristics were analyzed. RESULTS Of responding members, 72% (115/160) strongly opposed bundled payments; 68% (1...

Performance-based bundled payments: potential benefits and burdens.

Performance-based bundled payments have emerged as the most recent iteration of pay for performance. These are programs in which providers are paid a single fee for a set of evidenced-based services related to a diagnosis. The payments are typically linked to outcomes as well as other quality measures. This paper reviews two prominent bundled payment programs--PROMETHEUS and ProvenCare--and dis...

Health Policy and Cardiovascular Medicine

2151 Episode-based, “bundled” payments have come to the forefront of the national discussion on combating rising healthcare costs. In the currently dominant fee-for-service model for reimbursement, hospitals, physicians, and postacute care providers file distinct claims and are paid separately for provided services even when they are related to a single episode of care. However, this approach t...

Medicare's New Bundled Payments: Design, Strategy, and Evolution.

TheCentersforMedicare&MedicaidServices (CMS) is increasinglypayingforhealthcarethroughalternativepaymentmodels (APMs) that reward value and quality. Currently, more than 20% of Medicare fee-for-service payments flow through APMs, putting the Administration’s goals of 30% by 2016 and 50% by 2018 within reach.1 These APMs include accountable care organizations (ACOs), bundled payments, and advanc...

Bundled payments: demo aligns hospital, MDs on total joint surgery.