3 Biggest Bundled Payment Model Questions Answered

Healthcare bundled payments is a payment model that addresses reimbursement between payers and providers per episode of care rather than for a particular medical service, like the ever-popular fee-for-service model. The goal of using this particular payment method is to transition healthcare providers from a fee-for-service model to a value-based medical care model. This reduces some of the financial strain for both patients and providers and helps elevate the quality of care that patients receive.

Growing the Value-Based System with Bundled Payments

In the new era of healthcare reform, providers and payers must manage a delicate balance between financial responsibility and increasing positive patient outcomes. The shift towards a value-based care model is a reflection of this movement. Standing somewhat in opposition to value-based care is the fee-for-service reimbursement model, which is often criticized for allowing for overtreatment and misuse of resources.

4 Simple Ways to Create a Bundled Payment Strategy

Many healthcare providers are now looking to implement bundled payment strategies. Bundled payments are often seen as middle ground between fee-for-service and the outcome based models that are now shaking up the healthcare industry. Many healthcare organizations not ready to make the full leap into outcome-driven models are turning to bundled payment strategies as an alternate solution.

Here’s Why Employers Need to Start Supporting Bundled Care

Until recently, employers had to navigate through numerous insurance plans to find one that would cover their employees and work within the company budget. A critical issue with this method is that each procedure or visit was billed separately, resulting in a catastrophic bill. The fear is that employees would not deem the coverage valuable because they are still required to pay out of pocket, even after the employer paid the initial cost of the procedures.

6 Bundled Payment Challenges That Are Close to Resolution

There’s a lot of confusion around bundled payment models.

For health services providers, bundled payment programs are a unique way to attempt to develop a more efficient system of providing services for each episode. Essentially, providers agree to take on more patients and are betting on their capabilities to treat their patients effectively to earn additional income.