FINAL EXAM: PROVIDER PAYMENT AND MANAGING CARE /PERFORMANCE INDICATORS

READING 6.A.

WHEN ARE BUNDLED PAYMENTS MOST LIKELY TO BE EASILY DEVELOPED AND EFFECTIVELY USED:

Under bundled payments, a single payment is made for all of the services associated with an episode of care, such as a hip or knee replacement or cardiac surgery.

Services might include all inpatient, outpatient, and rehabilitation care associated with the procedure.

"Knee and hip replacements are well-suited to bundles because they often involve comparatively young patients who are physically active (often the source of their joint damage) and want to remain so. But when patients have multiple chronic conditions that interact with each other, it becomes less clear whether the bundle should include the costs of caring for all those problems.