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Bundled care payment models

Seminars in Colon and Rectal Surgery, 2018
Abstract In response to rising national healthcare spending, the Medicare program has proposed episode-based payments models as an alternative to the traditional fee-for-service program. A “bundled payment” is a single reimbursement provided for all aspects of care for a single diagnosis or procedure.
Arielle E. Kanters, Chad Ellimoottil
openaire   +1 more source

Payment consolidation models

Cybernetics and Systems Analysis, 1996
Debt service problems are described in many papers using various approaches, including analysis of obligations in the context of a sales pipeline. Thus, some approaches adopt the strategy of stabilizing the stream of payments (or charges), while other approaches use progressively changing rates of debt amortization.
openaire   +2 more sources

Care‐coordination: Gain‐sharing Agreements in Bundled Payment Models

Production and operations management, 2020
We study gain‐sharing agreements in a target price‐minimum quality payment system. Our work is inspired by the Centers for Medicare and Medicaid Services’ (CMS) Comprehensive Care for Joint Replacement (CJR) bundled payment model.
Salar Ghamat, G. Zaric, H. Pun
semanticscholar   +1 more source

The Per Capita Payment Model

Journal of Healthcare Management, 2015
As the healthcare payment system continues a steady march toward creative deconstruction, the upending of old assumptions is spurring the need to adopt a whole new mind-set. Success in this new world pivots on the ability of a responsible entity, whether it be physicians, payers, or health systems, to reduce total cost for groups of beneficiaries ...
openaire   +2 more sources

Bundled Payment Models in Spine Surgery: Current Challenges and Opportunities, a Systematic Review.

World Neurosurgery, 2019
BACKGROUND Bundled payments offer a lump sum for management of particular conditions over a specified period that has the potential to reduce health care payments.
Nicholas Dietz   +7 more
semanticscholar   +1 more source

Risk Adjustment Is Necessary in Medicare Bundled Payment Models for Total Hip and Knee Arthroplasty.

Journal of Arthroplasty, 2018
BACKGROUND Concerns exist that high-risk patients in alternative payment models may face difficulties with access to care without proper risk adjustment.
P. Courtney   +5 more
semanticscholar   +1 more source

Performance-based pharmacy payment models: the case for change.

Australian Health Review, 2019
In response to rising healthcare costs, healthcare payers across the globe have been experimenting with performance-based payment models that link payments to providers with the quality of care that they provide.
J. Jackson, B. Urick
semanticscholar   +1 more source

Value-Based Payment Models

2018
The concept of value-based purchasing (VBP) refers to performance-based payment strategies that link financial incentives to health-care provider performance, within a set of defined measures, in order achieve better value by driving improvements in quality and by slowing the growth in health-care spending.
Terri Menser, Ann Scheck McAlearney
openaire   +1 more source

Alternative Payment Models in Total Joint Arthroplasty Under the Affordable Care Act

JBJS Reviews, 2019
Since the passage of the U.S. Patient Protection and Affordable Care Act (ACA), health care has transitioned from a volume-based enterprise to a quality-based enterprise.
Z. Cizmic   +4 more
semanticscholar   +1 more source

Are current DRG-based bundled payment models for lumbar fusions risk-adjusting adequately? An analysis of Medicare beneficiaries.

The spine journal, 2019
BACKGROUND CONTEXT Current bundled payment programs in spine surgery, such as the bundled payment for care improvement rely on the use of diagnosis-related groups (DRG) to define payments.
A. Malik   +3 more
semanticscholar   +1 more source

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