As if the writing was not already on the wall, there is further evidence that HHS will inevitably initiate bundled payment for select cardiac procedures.
The CFA Perspective
A Cardiovascular Consulting Blog from CFA
Bundled Hospital Payment
Designing and implementing bundled pricing isn’t easy, but it will be increasingly necessary as Medicare and private payers continue to move away from fee-for-service reimbursement and the payer marketplace continues to evolve.
Two recent announcements about healthcare payment and costs should wake up every CV service line administrator:
Continuing our discussion from Part Two of physician/hospital alignment issues in general, and the reemergence of bundled payment initiatives specifically, an important new pilot will soon take place in California.
Continuing the discussion from Part One of physician/hospital alignment and the reemergence of bundled payment initiatives, let’s discuss the impact of health care reform in the area of bundled payment for care. A national pilot program on payment bundling is included in H.R. 3590, the Patient Protection & Affordable Care Act. This pilot program is set to commence in 2012 (no later than January 1, 2013) and run for five years.
Bundled or package payment across an episode of care such as a hospitalization, the subject of Medicare demonstration projects in the 1990’s, may be poised for a comeback.