Bundled payment fails to gain a foothold In California: the experience of the IHA bundled payment demonstration.

ABSTRACT: To determine whether bundled payment could be an effective payment model for California, the Integrated Healthcare Association convened a group of stakeholders (health plans, hospitals, ambulatory surgery centers, physician organizations, and vendors) to develop, through a consensus process, the methods and means of implementing bundled payment. In spite of a high level of enthusiasm and effort, the pilot did not succeed in its goal to implement bundled payment for orthopedic procedures across multiple payers and hospital-physician partners. An evaluation of the pilot documented a number of barriers, such as administrative burden, state regulatory uncertainty, and disagreements about bundle definition and assumption of risk. Ultimately, few contracts were signed, which resulted in insuffic

SUBMITTER: Ridgely MS 

PROVIDER: S-EPMC8575503 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature