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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?

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.

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?

Physician Group Practices BPCI Classic Success and Looking Ahead to BPCI Advanced Bundled Payments

New Marketplace

Physician Group Practices: Succeeding in Bundled Payments

Physician groups are demonstrating their ability to deliver care in new and innovative ways as part of the nationwide effort to transform health care delivery through value-based payment models. The physician experience and perspective is invaluable and should remain an important component of any shift to value-based care.

New Marketplace

What Are Bundled Payments?

Bundled payments represent one form of alternative payment models (APMs) that are designed to move toward value-based care by incentivizing providers to advance coordination and efficiency of care while also improving quality and outcomes at lower costs. With bundled payments, the total allowable acute and/or post-acute expenditures (target price) for...

Health Plans of the Future Are Win-Win-Win Lynn Garbee Cigna Panel Clip Still

New Marketplace

Health Plans of the Future Are Win-Win-Win

How health plans can take advantage of their position in the ecosystem to connect motivated consumers with their perfectly matching high-performing provider.

New Marketplace

Economic Investment and the Journey to Health Care Value — Part III: Health Care Purchasers

Early successes suggest that value-based purchasing programs can both transform employer-based health care and have a powerful and lasting impact on the economic strength of U.S. businesses.

Value-Based Payment Models Payer-Provider Contracts Value-Based Arrangements

New Marketplace

Economic Investment and the Journey to Health Care Value — Part II: Health Care Payers

Payers’ broad scale of investment in value-based arrangements makes a compelling case for the importance of sustained efforts to identify effective value-based payment models.

Payment Reform Is a Play We Are All Watching: Leemore Dafny Talk Still

New Marketplace

Payment Reform Is a Play We’re All Watching

We can’t get what we want in payment reform if we’re not clear about what that is.

New Marketplace

Economic Investment and the Journey to Health Care Value — Part I: Health Care Providers

Early evidence suggests that value-based payment and care delivery can transform our health care system, but providers must increase the momentum for this positive change.

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