Tag Archives: Bundled Payments
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
The growing field of implementation science offers exciting opportunities to improve the diffusion of innovations in the health care delivery system.
May 16, 2017
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
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
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
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
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
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
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
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