Bundled Payments For Hospitals: The Authors Reply.

Published on Jul 1, 2019in Health Affairs5.331
路 DOI :10.1377/HLTHAFF.2019.00613
Brandon C. Maughan2
Estimated H-index: 2
(OHSU: Oregon Health & Science University),
Grecia Marrufo4
Estimated H-index: 4
,
Daver C. Kahvecioglu7
Estimated H-index: 7
(Centers for Medicare and Medicaid Services)
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Abstract
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In 1992, the use of relative value units to link a particular payments with specific services was initiated to replace traditional fee for service. The system incentivizes volume rather than quality. In 1997, initiatives were formalized to emphasize quality measures. Physicians must participate in the Merit-based Incentive Payment System (MIPS). Physicians can opt out of MIPS if they participate in an Alternative Payment Model such as Bundled Payments. Reimbursement based on an episode of care r...
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