Category: Bundled Payment
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Bundled Payments Through Data-Driven Approach
Bundled payments work best when they reflect the real variation in patient care. By using claims data to cluster patients, we can design bundles that are both fair and financially sustainable. Additionally, by estimating the probability of complex occurrences, we can incorporate the expected cost of those complications into a single, comprehensive bundle price.
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Knee and Hip Replacement Bundles Saved Patients 3.9% per Surgery
The U.S. healthcare system is undergoing a fundamental shift from the traditional fee-for-service (FFS) model toward bundled payment models [1]. However, debate remains over which services are well-suited for bundled payments and which are not. In this blog, we explore this question by summarizing a systematic review published in Health Affairs, which examined the impact…