Overlap between Medicare's Voluntary Bundled Payment and Accountable Care Organization Programs
| Autor: | Sarah Dykstra, Rachel M. Werner, Amol S. Navathe, Joshua M. Liao, Claire T. Dinh |
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| Rok vydání: | 2019 |
| Předmět: |
Leadership and Management
media_common.quotation_subject Assessment and Diagnosis Medicare Reimbursement Mechanisms 03 medical and health sciences 0302 clinical medicine Shared savings Payment models Humans Medicine 030212 general & internal medicine Care Planning health care economics and organizations Aged media_common 030222 orthopedics Actuarial science Accountable Care Organizations Extramural business.industry Health Policy Bundled payments General Medicine Payment A share Hospitals United States Hospitalization Turnover Accountable care Fundamentals and skills Choosing Wisely®: Next Steps in Improving Healthcare Value business |
| Zdroj: | J Hosp Med |
| ISSN: | 1553-5606 1553-5592 |
| DOI: | 10.12788/jhm.3288 |
| Popis: | Accountable care organizations (ACOs) and bundled payments represent prominent value-based payment models, but the magnitude of overlap between the two models has not yet been described. Using Medicare data, we defined overlap based on attribution to Medicare Shared Savings Program (MSSP) ACOs and hospitalization for Bundled Payments for Care Improvement (BPCI) episodes at BPCI participant hospitals. Between 2013 and 2016, overlap as a share of ACO patients increased from 2.7% to 10% across BPCI episodes, while overlap as a share of all bundled payment patients increased from 19% to 27%. Overlap from the perspectives of both ACO and bundled payments varied by specific episode. In the first description of overlap between ACOs and bundled payments, one in every ten MSSP patients received care under BPCI by the end of our study period, whereas more than one in every four patients receiving care under BPCI were also attributed to MSSP. Policymakers should consider strategies to address the clinical and policy implications of increasing payment model overlap. |
| Databáze: | OpenAIRE |
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