When insurers implement bundled payment projects, they're transforming care by focusing on quality and lowering costs, making it a strong gateway to propel payment reform, according to a report from the Robert Wood Johnson Institute.
Reference pricing--the setting of hard payment caps on procedures--saved the California Public Employees Retirement System $5.5 million in the past couple of years on hip and knee replacements surgeries, Health Data Management reported.
Arkansas Blue Cross Blue Shield and Horizon Blue Cross Blue Shield of New Jersey have found their bundled payment programs improve quality and lower costs. Plus, bundled payments can reduce the variation in prices among providers for the same service, reported AIS Health.
In December, Medicare released data on the best and worst hospitals for hip and knee replacements. Providers are now debating the deeper meaning of that data, according to the Philadelphia Inquirer.
What a hospital charges bears little resemblance to the quality of care received, Kaiser Health News reported.
Private insurers are spending 14 percent more than Medicare on knee replacement surgeries and related costs, even though Medicare patients are older and have double the hospital readmission rates. A
In an experiment modeled after Medicare's bundled payment pilot programs, several California hospitals this summer will begin charging bundled fees for knee and hip replacements. Four insurers,
Would you opt for a health insurance plan that offers free care for chronic conditions like heart disease and diabetes if it meant paying through the nose if you ever needed to visit the ER or had
For years, U.S. employers have been looking for ways to save money on healthcare costs by having their employees' high-ticket procedures done far more cheaply offshore. Those who have attempted this,
CMS has announced that it will award a collective $7 million this year to the 112 top performing hospitals in its ongoing pay-for-performance project with Premier. The best performer, Sacred Heart