decisionhealth Newsletters, Part B News - 2011 Issue 8 (August)
New initiative will pay lump sums to hospitals and providers for coordinating care
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Article Overview
This article covers CMS’s bundled payment demonstration initiative, including its launch timeline, participation structure, model types, application timing, and the role of quality monitoring and target pricing. It is relevant to hospitals, physician practices, practice managers, and coding/reimbursement professionals watching Medicare payment reform and care coordination policy.
Why This Topic Matters
Bundled payment demonstrations can affect how care episodes are organized, how providers coordinate across settings, and how Medicare reimbursement is arranged. Understanding the program’s structure helps organizations evaluate participation and prepare operationally for payment and quality reporting requirements.
What You Will Learn
- The purpose and timing of CMS’s bundled payment initiative
- How the pilot is organized into multiple payment models
- Which provider types are described as potential participants
- Why quality monitoring is part of participation
- How target pricing and savings are discussed at a high level
Who Should Read This
- Hospitals
- Physician practices
- Practice managers
- Revenue cycle professionals
- Health policy analysts
- Medical coders
- Compliance teams
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