Tag Archives: Bundled Payments

Beyond ‘Repeal and Replace’: Physicians Renew The Call For Delivery System Improvement

Policymakers who are focused predominantly on how to improve the health care system by providing health insurance coverage will fail unless they simultaneously focus on transforming and modifying the delivery system.

July 12, 2017

Diffusion Of Innovations In Health Care—Obtaining Evidence To Move Faster

The growing field of implementation science offers exciting opportunities to improve the diffusion of innovations in the health care delivery system.

May 16, 2017

Medicare’s Bundled Payment Programs Suffer From Fatal Flaws, But There Is A Logical Alternative

There is no silver bullet in payment reform but rather a series of alternatives that should be tested and evaluated to ensure that Medicare beneficiaries and the US public get the best possible outcome. That will not be the case with the current Bundled Payment for Care Improvement initiative.

May 9, 2017

Geisinger’s Transformation: Balancing Growth And Risk

By the dawn of the millennium, Geisinger Health System was facing a bleak future. It recruited a new leader, Dr. Glenn Steele. How Steele reinvigorated Geisinger raises questions about how integration actually works and what drives success in the Integrated Delivery Network model.

March 8, 2017

The Changing Payment Landscape Of Current CMS Payment Models Foreshadows Future Plans

To understand the bigger picture of how CMS is driving change, one must zoom out from the program-level and evaluate the tapestry of CMS models and initiatives in their entirety.

February 3, 2017

Building A System That Works: The Future Of Health Care

As the Obama Administration comes to a close, this piece lays out my vision for the future of health care. I share the steps we have taken to change how we pay for health care, incentivize coordination, and unlock health care data.

December 12, 2016

Five Lessons From 30 Years Of Bundled Payments

The UCLA kidney transplant program is one of the longest-standing bundled payment programs. Lessons from this program can inform future bundled payment initiatives.

October 3, 2016

Refining The Framework For Payment Reform

Moving from a system that rewards volume over value is a complicated and messy process. No method is ever implemented in isolation---either one at a time or in a vacuum---and many payment methods do not yet have a sufficient track record to help us prioritize among them.

September 19, 2016

Paying For Value: Perspective From The Front Lines

The concept of value-based health care is rapidly gaining traction in the U.S., yet implementation remains a significant challenge. We propose that in a true pay-for-value system, a national payment rate should be established and rooted in reality and adjusted for three factors.

May 24, 2016

The Tangled Hospital-Physician Relationship

In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital and physician practice sectors appear to be independent and non-overlapping. This is an optical illusion. Hospitals and physicians are hopelessly intertwined.

May 9, 2016