Extending Bundled Payments

Guidehouse featured in HealthLeaders

Guidehouse Managing Director Richard Bajner discusses the Affordable Care Act, and building beyond CMS in HealthLeaders.

According to the article, analysts say the recent move by CMS to require bundling of reimbursement for hip and knee surgeries is just the beginning of its efforts to link provider profits with costs and quality metrics.

Rich states, “In the move toward bundling, most healthcare leaders are willing to share claims data to help evaluate performance across the care continuum… but they worry that delays in data sharing could impact the ability to quickly engage physicians in standardization and improvement efforts. Post-acute providers have expressed concern about the development of preferred partnerships without having the full picture, specifically the ability to risk adjust patients on only the claims data provided to financially evaluate episodes.”

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