Medicare's Bundled Payment Initiatives for Hospital-Initiated Episodes: Evidence and Evolution.

ABSTRACT: Policy Points Evidence suggests that bundled payment contracting can slow the growth of payer costs relative to fee-for-service contracting, although bundled payment models may not reduce absolute costs. Bundled payments may be more effective than fee-for-service payments in containing costs for certain medical conditions. For the most part, Medicare's bundled payment initiatives have not been associated with a worsening of quality in terms of readmissions, emergency department use, and mortality. Some evidence suggests a worsening of other quality measures for certain medical conditions. Bundled payment contracting involves trade-offs: Expanding a bundle's scope and duration may better contain costs, but a more comprehensive bundle may be less attractive to providers, reducing their willi

SUBMITTER: Yee CA 

PROVIDER: S-EPMC7482383 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature