PubMed · 2009 · 20 citations · 0 references
Public AffairsHealth Care ManagementHealth Services AdministrationHealth Services ResearchOutcomes ResearchPerformance MeasurementFee-for-service PaymentProvider ContractingProvider Payment PolicyProvider ReimbursementReimbursement PolicyValue-based PaymentBundled Payment ModelsClinical Quality MeasuresPay For Performance EvaluationPay-for-performance ContractsPay-for-performance MeasurementPerformance-based PaymentProvider Financial IncentivesQuality-linked Payment
Performance-based bundled payments have emerged as the most recent iteration of pay for performance. These are programs in which providers are paid a single fee for a set of evidenced-based services related to a diagnosis. The payments are typically linked to outcomes as well as other quality measures. This paper reviews two prominent bundled payment programs--PROMETHEUS and ProvenCare--and discusses the potential pitfalls of these approaches.