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27 mar 2023 · By focusing on specific procedures or medical conditions and defining an episode of care, bundled payments provide a way for specialty provider organizations to engage in value-based payment in a manner that is aligned with their influence over healthcare expenditures.
Bundled payment is the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care."
28 lut 2018 · Bundled payments, also known as episode payment models (EPMs), require participant providers to assume risk, as they must cover costs that go above the target price for an episode of care...
6 kwi 2020 · Bundled-payment models capitalize on the provider entity’s need to manage a budget and ensure quality. The entity receiving the bundled payment earns a higher margin if a patient utilizes less care, but also must cover the cost of unexpected utilization and complications.
26 gru 2023 · Bundled payment arrangements are designed to pay multiple providers for delivering all the services required for a single, pre-defined episode of care. The model has been a popular method for embracing value-based care without fully immersing providers in downside financial risk contracts.
Bundled payment programs generally provide a single, comprehensive payment that covers all of the services involved in a patient's episode of care. Traditionally, Medicare has made separate payments to providers for each of the individual services they furnish to beneficiaries for a certain illness or course of treatment.
Payment systems set incentives on how providers deliver care, and serve as a policy instrument to incentivise the redesign of health care systems, streamline financial incentives and improve patient care. In particular, bundled payment models can improve value through economies of scope and vertical integration and coordination.
