Single Tracks Blog Archive

Episode Choices and Bundled Payment Risk

Earlier in 2013 we wrote an article about the effect of selection of individual DRGs for participation in the Medicare Bundled Payment for Care Improvement (BPCI) program.

The Medicare Bundled Payment Program Moves Forward

Over the summer the Medicare bundled payment model gained momentum as the primary vehicle for next-generation provider payment. This was due to two factors. The first was the unexpectedly high participation rate in the third wave of participation in the Bundled Payment for Care Improvement (BPCI) program. According to this Modern Healthcare article more than 6,000 providers have signed up to receive data to evaluate participation in BPCI, or are already at risk in this program.

Do Readmissions Cost More than Non-Readmissions?

One of the challenges in working in healthcare data analytics is the requirement to keep up-to-date on many diverse topics. The eHealth Initiative provides a multitude of such opportunities, and we enjoyed attending the recent National Forum on Data and Analytics at which we heard a wide variety of presentations on many topics related to the management and analysis of healthcare data.

WSJ Article on Provider Payment and Quality Metrics

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Here’s an interesting Wall Street Journal debate on the “Physician Pay for Performance” issue.  One writer favors pay-for-performance incentives, arguing that fee-for-service payment creates improper incentives for providers to over-treat patients. This writer focused on the financial incentives, and measured success based on changes in utilization patterns or costs.

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