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3 principles for better bundled payments

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In this HealthAffairs article,    Robert Dubois and Michael Ciarametaro present three principles to maximize benefits and minimize negative consequences of bundled payments:

  • “Bundled payments should be adequate for the care needed to achieve optimal patient outcomes. This includes setting an appropriate time frame, providing sufficient reimbursement for services and technology, and targeting a homogenous population.
  • “Evidence-based treatment variability should be incorporated into the bundled payment, including risk adjustment as needed and allowances for patient choice.
  • “Quality metrics should be used to ensure appropriate care in a bundled payment program. Quality metrics should encourage appropriate care regardless of health status and should have financial implications.”

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