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The Current State of Evidence on Bundled Payments
Aaron Glickman1, Claire Dinh2, Amol S Navathe3
1Department of Medical Ethics and Health Policy and Leonard Davis Institute of Heath Economics, University of Pennsylvania, Philadelphia, PA.
LDI Issue Brief
|October 10, 2018
Summary
Bundled payments for surgery show cost savings and maintain patient outcomes. However, for chronic conditions, bundled payments yield minimal cost or quality improvements, requiring ongoing monitoring for access and equity.
Area of Science:
- Health economics
- Healthcare policy
- Surgical innovation
Background:
- Bundled payments are an alternative payment model in healthcare.
- Evidence supports bundled payments for surgical procedures.
- Limited data exists on bundled payments for chronic conditions.
Purpose of the Study:
- To review the evidence on bundled payments for surgical procedures and chronic conditions.
- To assess the impact of bundled payments on cost, quality, access, and equity.
Main Methods:
- Systematic review of existing evidence.
- Analysis of cost, quality, access, and equity outcomes.
Main Results:
- Bundled payments for surgical procedures demonstrate cost savings without negative effects on patient outcomes.
- For chronic medical conditions, bundled payments show minimal or no improvements in cost and quality.
- Little evidence suggests bundled payments negatively impact access and equity.
Conclusions:
- Bundled payments are effective for surgical cost savings and quality maintenance.
- Further research is needed to understand the impact of bundled payments on chronic care.
- Continued monitoring of access and equity is recommended for bundled payment models.
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