Betting on Bundled PaymentMany are wagering that bundled payment will help reduce healthcare costs and improve quality. A Leadership infographic details the research to date on the effectiveness of bundled payment and shares three risk strategies for providers that engage in this new payment approach.
Methodist Le Bonheur Healthcare, in Memphis, Tenn., partners with the Congregational Health Network, a group of 500 churches and other faith-based organizations throughout the region to address the socially complex issues that drive residents to seek out emergency departments for routine care.
Their efforts are paying off: Residents served by the network have 20 percent fewer readmissions and half the crude mortality rate, compared with non-network patients. Their median time for readmission is 120 days less for all diagnosis-related groups, compared with the total population. And the health system has saved about $4 million a year, or about $8,000 per capita, in charity care write-offs.
Rising to the Challenge
nurses, and other clinicians are in prime positions to distinguish between the
elements of health care that benefit patients and those that are wasteful and
potentially dangerous, says Donald Berwick
MD, former CMS administrator and healthcare quality improvement expert.
“Just like hospitals
are being forced more and more to think about business models that are not
volume-based, so physicians have to think about their roles in the larger
system—teamwork, exchange of information, and how to be a leader in cost
reduction without harming patients,” Berwick says.
Team Approach Builds Diagnostic Imaging Volume
Two Houston-area hospitals used similar strategies to revive their declining diagnostic imaging businesses. Believing that their hospitals had a quality edge over the competition, they set out to turn the hospitals’ imaging departments back into providers-of-choice for patients. Strategies included close communication with local physicians’ offices on the availability of same-day appointments and quicker turnaround times on radiology results.
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Apex: Cultivating Patient Payment while Elevating the Patient Experience
HealthPort: Ensuring Compliant Exchange of Protected Health Information
Community Hospital Corporation: Supporting Community Hospitals
Cerner: Connecting Clinical and Financial Data
Aidin: Better Manage Your Post-Acute Provider Network and Improve Patient Outcomes
GE Healthcare: Delivering Sustainable Cost Reduction
Deloitte: Solutions for Healthcare Transformation
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