Physician Perspectives on Gainsharing

Physicians have mixed and, in some cases, impassioned feelings about gainsharing—incentive-based payments made by hospitals to physicians who help them reduce inpatient costs and improve care outcomes through increased use of best practices. Gainsharing is a key feature of bundled payment programs, most notably models being tested by the Centers for Medicare & Medicaid Services […]

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The Essential Guide to Bundled Payments

In 2015, the U.S. Department of Health and Human Services set an ambitious goal of tying 50 percent of traditional, fee-for-service Medicare payments to an alternative payment model by 2018. To reach that goal, the Centers for Medicare & Medicaid Services (CMS) continues to expand its episode payment models. Also known as bundled payments, these […]

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Update on Value-based Care

For years, the Centers for Medicare & Medicaid Services (CMS) has researched and developed new care reimbursement models in hopes of achieving better healthcare outcomes at a lower cost. Among the most discussed of these currently is the bundled payment—shifting more risk to hospitals but also rewarding them for collaborating with other providers to reduce […]

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