Fig­ur­ing out how that bun­dled pay­ment thing ac­tu­ally works

Modern Healthcare - - THE WEEK AHEAD - —Bob Her­man

Bun­dled pay­ment is draw­ing lots of at­ten­tion as a leading val­ued-based pay­ment model, though many people still scratch their heads about the op­er­a­tional de­tails.

Health­care pro­fes­sion­als will have a chance to learn more about it June 16-18 at the an­nual Na­tional Bun­dled Pay­ment Sum­mit in Wash­ing­ton.

The sum­mit will fo­cus on how people and sys­tems are con­cretely de­sign­ing pay­ment struc­tures around spe­cific episodes of care, said Fran­cois de Brantes, ex­ec­u­tive di­rec­tor of the Health Care In­cen­tives Im­prove­ment In­sti­tute and a co-chair of the event. “Bun­dled pay­ments have moved from con­cept/early pi­lots to re­ally full-blown im­ple­men­ta­tions,” de Brantes said. “What we re­ally want to do with this con­fer­ence is keep it at the prac­ti­cal level.”

Medi­care’s Bun­dled Pay­ments for Care Ini­tia­tive is one of the largest demon­stra­tions of the model. The ini­tia­tive has brought to­gether nu­mer­ous hos­pi­tals, health sys­tems and physi­cian groups to ne­go­ti­ate bun­dled pay­ment rates with Medi­care for cer­tain pro­ce­dures such as to­tal joint re­place­ments. But de Brantes stressed that bun­dled pay­ments to­day also in­volve pri­vate in­sur­ers. Statewide bun­dled pay­ment ini­tia­tives in Arkansas, Colorado and Ten­nessee also will be high­lighted.

Most in­sur­ers and providers an­tic­i­pate value-based pay­ment mod­els, in­clud­ing bun­dled pay­ment and ac­count­able care, will ac­count for about two-thirds of pay­ment by 2020, while fee-for-ser­vice pay will dwin­dle to about one-third of pay­ments, ac­cord­ing to a sur­vey from McKes­son Corp. “We’re no longer at a stage where it’s just idle talk,” de Brantes said.

Ses­sions will be avail­able live on­line for a fee.

de Brantes

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