decisionhealth Newsletters, Part B News - 2011 Issue 9 (September)
You could be recruited to partner in bundled payments initiative
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Article Overview
This article explains CMS’s bundled payment pilot initiative and how practices may be invited to participate through hospitals or conveners. It covers the general structure of the payment models, the relationship to accountable care organizations, and the main application and participation timeline. The piece is aimed at physicians, practice administrators, and reimbursement/compliance professionals evaluating whether the program may fit their organization.
Why This Topic Matters
Bundled payment initiatives can affect how providers coordinate care, share savings, and assume financial risk under Medicare. Understanding the program structure and entry process helps practices assess operational readiness and potential exposure before deciding whether to participate.
Article Sections
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New payment models
Introduces the bundled payment pilot initiative, who may be invited to participate, and how it differs broadly from other Medicare payment models. It also discusses the types of organizations most likely to participate.
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The four models explained
Summarizes the structure of the bundled payment options discussed in the article and outlines the general scope of the care episodes involved. It also describes the broad mechanics of target pricing, savings, and downside risk.
What You Will Learn
- How CMS’s bundled payment pilot is being introduced to providers
- Which kinds of organizations may be approached to participate
- How the article characterizes the bundled payment models at a high level
- What the article says about timing and application requirements
- How bundled payment participation is positioned relative to other Medicare payment models
Who Should Read This
- Physicians
- Practice administrators
- Hospital reimbursement staff
- Compliance professionals
- Medical group leaders
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