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Bundled payments: bundled risk or bundled reward?
Joseph R Steele1, James D Reilly
1Department of Interventional Radiology, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. jsteele1@mdanderson.org
Journal of the American College of Radiology : JACR
|February 5, 2010
Summary
The Acute Care Episode (ACE) Demonstration pilots bundled payments, shifting from fee-for-service to global payments for episodes of care. This study evaluates the strategy and prepares radiologists for healthcare payment reform.
Area of Science:
- Health economics
- Healthcare policy
- Radiology
Background:
- Healthcare reform proposals include transitioning from fee-for-service to episode-of-care payments.
- Bundled payments combine physician and hospital reimbursement for an entire episode of care.
Purpose of the Study:
- To evaluate the Acute Care Episode (ACE) Demonstration, a pilot study of bundled payments.
- To explore the implications of bundled payments for radiologists and hospital-based practices.
Main Methods:
- Review of the history and current status of bundled payment models.
- Analysis of the Acute Care Episode (ACE) Demonstration design and objectives.
- Inclusion of radiologist perspectives on the potential impact of bundled payments.
Main Results:
- The Acute Care Episode (ACE) Demonstration involves five participating hospitals.
- The study examines the transition from fee-for-service to global payment structures.
- Radiologist opinions on bundled payments are considered within the evaluation.
Conclusions:
- Bundled payments represent a significant shift in healthcare reimbursement strategy.
- Hospital-based radiology practices need to prepare for potential adoption of episode-of-care payments.
- The ACE Demonstration provides insights into the feasibility and impact of bundled payment models.
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