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Prospective versus Retrospective Bundled Payments: Looking ahead, not looking back

First few Article Sentences

When it comes to alternative payment models, one area that has recently gained a lot of attention is bundling. Bundles are a great tool to help payors and providers redefine the unit they use to measure value. Instead of setting a rate for each separate service, bundles set a rate for an entire procedure or treatment of a condition over a defined period of time. Rather than paying separately for a high-quality OR tech or a competitively priced outpatient physical therapy session, we can look for a high value bundled payment for a knee replacement where the services and outcomes are coordinated.


Ross, MPH, MBA, Olivia

 

Pacific Business Group on Health

Provider Reimbursement

November 1, 2015

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