CMS has released a fact sheet describing the “Bundled Payments for Care Improvement” initiative. This program, which was part of the PPACA health reform law, allows hospitals, physicians and other providers to be paid a prospectively-determined rate for a specific episode of care, and then to share any savings that accrue through cooperative efforts to reduce costs.
Guidance for Healthcare Providers and Purchasers
Leading healthcare data analytics insights:
The results of the Physician Group Practice (PGP) demonstration project have recently been released and are available from CMS here. Of interest in these results is the unevenness of the results. Of the 10 participating groups, one group received 52% of all shared savings payments, while three groups failed to achieve any shared savings.
This is a little off topic from our other “analytics” postings, but a recent article (“The Operation of the Individual Tax Mandate” by Jeffrey H.Kahn) presents a fascinating analysis of the complexities of the tax consequences of not obtaining the health insurance coverage required under the health reform law.