Published in:
01-01-2019 | Health Services Research and Global Oncology
An Overview of Bundled Payments for Surgical Oncologists: Origins, Progress to Date, Terminology, and Future Directions
Authors:
Anaeze C. Offodile II, MD, MPH, Winta Mehtsun, MD, MPH, Cary J. Stimson, MD, JD, Thomas Aloia, MD, FACS
Published in:
Annals of Surgical Oncology
|
Issue 1/2019
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Excerpt
The US healthcare system is in the midst of a transition in reimbursement and delivery models from a volume orientation (“fee for service”) to one that allies payments with health outcomes achieved (“pay for performance”).
1 The impetus for this has been an unsustainable rise in healthcare spending [17.8% of the 2016 gross domestic product (GDP)] that has not been matched by commensurate improvements in health coverage or population-level care quality.
2 Alternative payment models (APM) such as global capitation, patient-centered medical homes, and bundled payments have emerged as key levers for driving this change. Currently, more than 30% of Medicare fee-for-service (FFS) provider payments flow through APMs, with a target of 50% by the end of the 2018 calendar year.
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