Sum­mit to ex­am­ine physi­cian con­cerns about bun­dled pay­ments

Modern Healthcare - - THE WEEK AHEAD - —Vir­gil Dick­son

Providers and pol­i­cy­mak­ers will ex­plore im­ple­men­ta­tion strate­gies for bun­dled-pay­ment mod­els and ad­dress physi­cian con­cerns about the CMS’ bun­dled-pay­ment ex­per­i­ments at the Fifth Na­tional Bun­dled Pay­ment Sum­mit in Wash­ing­ton.

The sum­mit, June 3-5, will fea­ture Dr. Rahul Ra­jku­mar, act­ing deputy direc­tor of the CMS In­no­va­tion Cen­ter. He will pro­vide an up­date on Medi­care’s Bun­dled Pay­ment for Care Im­prove­ment ini­tia­tive.

The sum­mit comes three months af­ter the CMS re­leased its first anal­y­sis ex­am­in­ing the progress of the bun­dled-pay­ment model. That re­port was mostly in­con­clu­sive be­cause of small sam­ple sizes and short time frames. The ini­tial par­tic­i­pants in the demon­stra­tion, which started in Oc­to­ber 2013, were hos­pi­tals and physi­cian group prac­tices. That group ex­panded to 93 par­tic­i­pants for the first quar­ter of 2014.

The sum­mit’s chair, Fran­cois de Brantes, ex­ec­u­tive direc­tor of the Health Care In­cen­tives Im­prove­ment In­sti­tute, said he’s heard some con­cern from doc­tors about the CMS’ ini­tia­tive. Some providers have been turned off be­cause they say pay­ments don’t ad­e­quately take into ac­count the ill­ness sever­ity of their en­rolled pop­u­la­tions. They are also frus­trated by what they say are the agency’s chang­ing per­for­mance stan­dards.

The sum­mit also will fo­cus on suc­cess­ful strate­gies to im­ple­ment bun­dled pay­ment ar­range­ments with pri­vate- and public-sec­tor in­sur­ers and how to best en­gage con­sumers in the pro­grams.

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