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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June 10, 2009 | Video/Presentation Material
Experts in the field of health care payment discuss a variety of solutions to correct widespread deficiencies and increase value in our health care system.
January 1, 2010 | Issue Brief
Issue brief shows potential cost reduction with PROMETHEUS Payment® in total knee replacement.
September 10, 2009 | Journal Article
The PROMETHEUS Payment approach seeks to promote and reward high-quality, efficient, patient-centered health care by using a novel method to pay hospitals and physicians and other providers. The PROMETHEUS Payment model consists of three components: evidence-informed base payments with patient-specific severity adjustments and an allowance for potentially avoidable complications.
February 27, 2011 | Toolkit
The CEO is the ultimate decision-maker and is accountable for the organization’s success or failure.
January 1, 2012 | Issue Brief
Issue brief examines ongoing bundled health care payment initiatives.
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.
February 27, 2011 | Toolkit
Prometheus payment
February 27, 2011 | Toolkit
Which ECRs to focus your pilot on.
September 1, 2009 | Journal Article
This study proposes two methods of payment reform that could facilitate higher quality and lower cost "episode-of-care payment" and "comprehensive care payment" (condition-adjusted capitation).
February 27, 2011 | Toolkit
You can conduct your own analysis through the ECR Analysis Tool on the HCI3 website.