bundled payment

bundled payment

A single comprehensive payment made to healthcare providers—hospitals and physicians—for a group of related services, based on the expected costs for a clinically defined episode of care.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
References in periodicals archive ?
(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 model."
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.