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Bundled Payments

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Bundled Payment: The Quest for Simplicity in Pricing and Tying Payment to Quality

June 11, 2013 | Issue Brief

Local initiatives are showing how new methods for paying for health care can improve quality and control costs. This paper offers four steps that organizations considering a bundled payment pilot should follow.

Policy Makers Will Need a Way to Update Bundled Payments That Reflects Highly Skewed Spending Growth of Various Care Episodes

May 6, 2013 | Journal Article

Bundled payment is seen as a promising way to slow the growth of health care spending while maintaining or improving the quality of care.

Bundled Payment Across the U.S. Today

January 1, 2012 | Issue Brief

Issue brief examines ongoing bundled health care payment initiatives.

Conclusion

February 27, 2011 | Toolkit

Prometheus payment

The Fundamentals: How the Model Works

February 27, 2011 | Toolkit

Measures are based on commonly accepted clinical guidelines or expert opinions that define the best methods for treating a given condition from beginning to end.

Defining the Scope

February 27, 2011 | Toolkit

Which ECRs to focus your pilot on.

Launching the Pilot

February 27, 2011 | Toolkit

Health Plans will plug into the PROMETHEUS ECR Engine, a claims tracking/financial accounting system. It combines all data elements into one system, allowing payers and providers to price, reimburse and track ECR-related claims.

Analysis of Medicare and Commercial Insurer-Paid Total Knee Replacement Reveals Opportunities for Cost Reduction

January 1, 2010 | Issue Brief

Issue brief shows potential cost reduction with PROMETHEUS Payment® in total knee replacement.

Testing PROMETHEUS Payment

September 17, 2012 | Program Result Report

The Health Care Incentives Improvement Institute furthered the development and pilot testing of its Prometheus bundled payment model. Researchers at RAND and the Harvard School of Public Health evaluated the initiative at three pilot sites.

Payment Reform: Bundled Episodes vs. Global Payments

September 6, 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.

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