JAMA · 2015 · 149 citations · 3 references
Public AffairsHealth AdministrationHealth Services AdministrationHealth Care FinancingHealthcare AdministrationMedicare PolicyAccountable Care OrganizationsFee-for-service PaymentMedicare FinancingProvider ReimbursementReimbursement PolicyValue-based PaymentAccountable Care Organization ArrangementsAccountable Care Organization Payment ModelsBundled Payment ModelsBundled Payment StrategyHealth Care EconomicsHealthcare Reimbursement SystemsMedicare Fee-for-servicePayment Reform Strategy
The Centers for Medicare & Medicaid Services (CMS) is increasingly paying for health care through alternative payment models (APMs) that reward value and quality. Currently, more than 20% of Medicare fee-for-service payments flow through APMs, putting the Administration’s goals of 30% by 2016 and 50% by 2018 within reach.1 These APMs include accountable care organizations (ACOs), bundled payments, and advanced primary care medical homes. In this Viewpoint, we discuss the role of bundled payments.
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CMS—Engaging Multiple Payers in Payment Reform
Rahul Rajkumar, Patrick H. Conway, Marilyn Tavenner · JAMA · 2014 · 104 citations
Business, Insurance, Managed Care +11