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Bundled Payments

Bundled payment models in healthcare can do better to drive value-based solutions for patients, providers, and payers. But how can an organization begin to create bundles that are fair and workable? What are the best strategies and examples for making bundled payments work?

Washington State Health Care Authority Center of Excellence joint replacement elements and outcomes of program produces strong patient experience scores

New Marketplace

Improving Care by Redesigning Payment

A state-run center of excellence uses benefit design to improve outcomes while controlling cost.

Alaigh03_pullquote aco and bundled payment co-exist

New Marketplace

ACOs and Bundled Payments: How the Two Can and Should Coexist

The integration of primary care and specialty care physicians through adoption of both payment models will lead to synergistic value.

Hospital-based ACOs Key Capabilities Are Different Based on Level of Risk

New Marketplace

Hospital-based ACOs Face Challenges in Tracking Performance Indicators

A focus on bundled payments for specific episodes of care — versus the broad changes required in an ACO model — may be a more effective method for ACO participants to develop capabilities required to measure utilization, cost, and revenue metrics.

Growth in alternative payment models shared savings shared risk bundled payments population-based payments

New Marketplace

The State of the Evidence on Payment Reform

Despite some successes among the many efforts to execute value-oriented payment models, the lack of rigorous independent research studies impedes robust progress.

Donald Berwick Melinda Buntin Patrick Conway Raymond Vara Edward Prewitt head shots IHI forum panel on health care policy

New Marketplace

Signal or Noise? Navigating Health Care Policy — Part 2

A discussion from the Institute for Healthcare Improvement National Forum. Part 2 of a two-part series.

Donald Berwick Melinda Buntin Patrick Conway Raymond Vara Edward Prewitt head shots IHI forum panel on health care policy

New Marketplace

Signal or Noise? Navigating Health Care Policy — Part 1

A discussion from the Institute for Healthcare Improvement National Forum. Part 1 of a two-part series.

Example 4-Quadrant Analysis and Price Setting for a Single-Procedure Bundle - Lessons Learned from DRG Implementation

New Marketplace

Making Bundled Payments Work: Leveraging the CMS DRG Experience

Given its clout and experience, CMS is uniquely positioned to lead the U.S. health system toward high-value care. Bundled pricing based on real costs, leveraging lessons from DRG implementation, would establish the right types of provider incentives.

New Marketplace

What Is Risk Management in Healthcare?

Healthcare risk management comprises the systems and processes employed to uncover, mitigate, and prevent risks in healthcare institutions. Understand its purpose, elements, the risk manager’s role, and more.

Nash01_pullquote - A Requiem for Value-Based Care Population Health.

Patient Engagement

A Requiem for Population Health?

Despite some fits and starts for value-based care, there is abundant evidence that the concept will continue to survive and thrive.

Much Ado About Nothing Over Healthcare Payment Reform Panel Clip Still

New Marketplace

Much Ado About Nothing Over Payment Reform?

Are we too concerned about payment reform? Should we let the system play its course, or should we give it subtle nudges?

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