(6,7,11) Evidence from other evaluations of bundled payment
interventions is generally consistent with these findings.
UnitedHealthcare, a UnitedHealth Group, on Thursday introduced a new bundled payment
program for maternity care to help support the well-being of moms and babies before and after delivery by closing gaps in care and encouraging healthy, full-term pregnancies.
Medtronic and Medical University of South Carolina also plan to implement a standardized care pathway program for joint replacement patients that addresses the bundled payment
methodology implemented by the Centers for Medicare and Medicaid Services.
Archway is currently working with leading healthcare providers participating in all types of risk-based contracts including Medicare and commercial Accountable Care Organizations, self-insured employers, commercial payers, and CMS Innovation bundled payment
programs such as the Bundled Payment
for Care Improvement, Comprehensive Care for Joint Replacement, and the Oncology Care Model.
With the acquisition, the company has become a provider of prospective bundled payment
solutions, and can help clients design, contract, manage and adjudicate bundled payments
In 2013, in an effort to contain costs while improving efficiency and patient safety, Medicare implemented the voluntary Bundled Payment
for Care Improvement Initiative (BPCI) for TJA.
A bundled payment
is defined as the reimbursement of health care providers on the basis of expected costs for clinically defined episodes of care.
Meanwhile, on the bundled payment
front, while former HHS Secretary Price and CMS' Verma have said that they believe that bundled payment
models offer opportunities to improve quality and care coordination while lowering spending, they do not support forcing providers into these programs with mandatory requirements.
"Part of what makes our work really challenging and exciting is the fact that we have taken in the realm of the methodology and philosophy of bundles, we are implementing a prospective bundled payment
The third part is going to become more important--the hospital part of it, as we head toward bundled payments
. Some states have been able to carve out pain regional blocks from the bundled payment
because they're able to demonstrate the benefit of it.
The bundled payment
model will place accountability for patient outcomes 90 days after discharge on the hospital where treatment occurred.