Bundled Payments

A payment mechanism that reimburses health care providers for the expected cost of a specific episode of illness, rather than for each service delivered. 

Outsmarting Risk: Winning Strategies for Bundled Payment

Jul. 19, 2016
There is a four-letter word that is used a lot in health care, and that’s risk. With the goal of making health care more affordable, financial risk is being redistributed among payers, providers and patients, with a particular focus on shifting the risk onto providers to change the way they deliver care. More Risks for Hospitals In 2011, under the Affordable Care Act, the Center for Medicare and Medicaid Services (CMS) launched the Bundled Payments for Care Improvement (BPCI) initiatives to test whether bundled payment can reduce cost while maintaining or improving the quality of care for...

Physician Referrals, Delivery System Reform, and The Diffusion of Information

Jan, 2015
Principal Investigator:
Lawton R. Burns, PhD, MBA

Abstract: Physician-to-physician referrals play a central role in the health care systems and are drives of costs and quality. There is evidence that referrals are currently misused and overused and recognition that they will have to change if health reform objectives such as care coordination and cost reduction are to be achieved (Son et al., 2014). Indeed, many of the models of care supported by the Affordable Care Act (e.g., accountable care organizations (ACOs), patient-centered medical homes, bundled payments) depend on physicians making high-value referrals.

Carrots and Sticks to Reduce Readmissions and Improve Home Health Care

Oct. 1, 2014

The Affordable Care Act has generated carrots and sticks for hospitals to reduce readmissions. With the goal of achieving the Triple Aim (improving quality of patient care, improving population health, and reducing overall cost of care), innovative care delivery models are being tested locally and nationally, including the roll-out of Accountable Care Organizations and bundled payment programs. These programs create incentives in terms of shared savings for health care systems that provide high quality, coordinated care.

A Feasibility Trial of Telemedical Resuscitation Following Cases of Cardiac Arrest

Jan, 2012
Principal Investigator:
Brendan G. Carr, MD, MA, MS

Abstract: Out-of-hospital cardiac arrest (OHCA) is a leading cause of death in the US, unpredictably affecting some 300,000 citizens annually. Of these patients, about 40,000 OHCA victims annually require post-cardiac arrest care, a statistic that is likely to increase. Recent studies have shown that early implementation of a post-cardiac arrest care bundle can improve survival and neurologic function.