Bundled payment models assign a fixed, negotiated fee to cover a set of treatment services, encouraging providers to manage costs, while meeting high-quality care standards.
This resource provides guidance and templates to help organizations work with commercial payors to develop successful and compliant bundled payment and shared savings arrangements.
Though the strategy sounds simple, implementing a different way to pay for care across health systems and communities is a complex undertaking. This brief from Aligning Forces for Quality offers four steps that organizations considering a bundled payment pilot should follow.
In this Health Affairs blog post, Senior Program Officer Michael Painter discusses different RWJF-funded projects testing the bundled payment model.
This article from Health Affairs discusses how policy-makers must set base payment rates for episodes of care and update the rates over time to reflect changes in the costs of delivering care.
Created by the Health Care Incentives Improvement Institute, the PROMETHEUS model packages payment around a comprehensive episode of medical care that covers all patient services related to a single illness or condition. This results report provides qualitative and quantitative analyses of the pilot.
This issue brief from the Urban Institute presents a frank assessment of the merits and drawbacks of two payment models—bundled payments and global capitation—through a debate between Francois de Brantes and Robert Berenson.
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September 1, 2012 | Report/Issue Brief
This issue brief presents a frank assessment of the merits and drawbacks of two payment models, bundled payments and global capitation, through a debate between Francois de Brantes and Robert Berenson.
April 1, 2010 | Report
Report examines global and episodic bundling payment strategies for states.
May 1, 2009 | Report
In analyzing national claims data, the PROMETHEUS Payment developers found that a significant percentage of total cost of care spent today on six chronic diseases is attributable to "Potentially Avoidable Complications."
January 1, 2009 | Report
This report describes the PROMETHEUS scorecard approach, the principles of scoring, the sources of the measures, how scores are calculated and the impact on payment.
June 1, 2008 | Report
This project aims to design and test an approach to paying for health care which would simultaneously improve quality, lower administrative burden and pay providers fairly based on known science. This paper reviews the approach to be implemented and describes the real-world decisions necessary to make a pilot possible.