Increase the Use of "Bundled" Payment Approaches
Rand Health Quarterly
|January 14, 2017
Summary
Bundled payment approaches may lower healthcare costs and reduce patient financial burdens. However, their impact on overall health outcomes, care reliability, and patient experience requires further investigation.
Area of Science:
- Health economics
- Healthcare policy
- Health services research
Background:
- Bundled payment models are increasingly discussed as a strategy to improve healthcare value.
- These payment models consolidate provider payments for all services associated with a distinct episode of care.
Purpose of the Study:
- To evaluate the potential effects of widespread adoption of bundled payment approaches on health system performance.
- To assess impacts across seven key dimensions of healthcare performance.
Main Methods:
- Qualitative review and synthesis of existing evidence on bundled payment impacts.
- Analysis of potential effects based on theoretical frameworks and limited empirical data.
Main Results:
- Bundled payments show potential for reducing healthcare spending, consumer financial risk, and waste.
- Evidence regarding the impact on health outcomes is mixed.
- Limited evidence exists on effects concerning care reliability and patient experience.
Conclusions:
- Bundled payment approaches offer promise for cost containment and efficiency.
- Further research is crucial to understand effects on quality of care and patient satisfaction.
- Significant operational and billing system changes are necessary for implementation.
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