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The Potential for Cost Savings through Bundled Episode Payments

The New England journal of medicine, 2012-03, Vol.366 (12), p.1075-1077 [Peer Reviewed Journal]

Copyright © 2012 Massachusetts Medical Society. All rights reserved. ;Copyright © 2012 Massachusetts Medical Society. All rights reserved. 2012 ;ISSN: 0028-4793 ;EISSN: 1533-4406 ;DOI: 10.1056/NEJMp1113361 ;PMID: 22435368

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  • Title:
    The Potential for Cost Savings through Bundled Episode Payments
  • Author: Cutler, David M ; Ghosh, Kaushik
  • Subjects: Aged ; Cost control ; Cost reduction ; Cost Savings ; Entitlement spending ; Health Expenditures ; Heart attacks ; Hospitalization ; Hospitals ; Humans ; Laws, regulations and rules ; Medical care, Cost of ; Medicare ; Medicare - economics ; Planning ; Reimbursement Mechanisms - organization & administration ; United States
  • Is Part Of: The New England journal of medicine, 2012-03, Vol.366 (12), p.1075-1077
  • Description: A key question about aggregating payments to health care providers is determining whether to bundle services for individual, if extended, episodes of care or for whole patients. What are the tradeoffs of the two approaches, and how much money could be saved? In the quest to manage the spiraling cost of U.S. health care, one approach has generated great interest. The philosophy behind much current policy — including the Affordable Care Act (ACA) — is that aggregating fee-for-service reimbursement into payments for broader bundles of care will lead to greater efficiency in the provision of care and thus lower costs. Under the accountable care organization model, perhaps the best-known example of this strategy, medical reimbursements are aggregated to the person-year level. Other programs aggregate reimbursement for episodes of care — for example, care for a particular cardiovascular or orthopedic condition. The Episode . . .
  • Publisher: United States: Massachusetts Medical Society
  • Language: English
  • Identifier: ISSN: 0028-4793
    EISSN: 1533-4406
    DOI: 10.1056/NEJMp1113361
    PMID: 22435368
  • Source: ProQuest One Psychology
    MEDLINE
    Alma/SFX Local Collection
    ProQuest Central
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