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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?

Average HOOS and Average KOOS for patients undergoing hip and knee replacement at CJRI

New Marketplace

Building a “Hospital-within-Hospital” Model for Joint Replacements

The Connecticut Joint Replacement Institute has demonstrated that formerly competing independent providers can unite on a common vision to yield drastic improvements in quality, safety, and costs.

Cautious Optimism That Value-Based Reimbursement Will Become Primary Revenue Model

New Marketplace

Survey Snapshot: What Would Accelerate the Adoption of Value-Based Care?

NEJM Catalyst Insights Council members weigh in on the barriers and path forward to value-based health care.

Fee-for-Service Continues to Account for the Majority of Revenue

New Marketplace

New Marketplace Survey: Transitioning Payment Models: Fee-for-Service to Value-Based Care

In a survey of the NEJM Catalyst Insights Council sponsored by Optum, respondents express enthusiasm for value-based care but have conflicting opinions about just how far along that path they should go.

Sample Report Comparing Individual Patient-Reported Outcome Measures with FORCE-TJR National Norms

New Marketplace

The Essential Role of Patient-Centered Registries in an Era of Electronic Health Records

Smartly designed patient-centered registries capture longitudinal data to augment EHRs and enhance quality improvement, policy, and research efforts.

Murray02_pullquote surgical care bundled payments accountable care organizations

New Marketplace

Surgical Value — Beyond Bundled Payments

The surgeon has a crucial role in defining value for patients in a population — and not just when that patient is in need of the surgeon’s knife.

Reason and Potential Cost Changes for Patients with Treament Recommendation Changes During MD Anderson Cancer Center Multidisciplinary Team Meetings

New Marketplace

Great Minds Don’t Always Think Alike

How multidisciplinary team meetings improve cancer care.

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.

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