bundled payment models | VBCExhibitHall Library

Study Finds No Spending Difference Between Voluntary, Mandated Bundled Payment Programs

June 20, 2021Garrett SchmittNo Commentsbundled payment models, bundled payment programs, Bundled Payments, CMS, mandated bundled payment, mandatory bundled payment, mandatory models, voluntary bundled payment, voluntary models

One critique of many of the value-based program launched by CMS is that they have been voluntary. That self-selection clouds results, goes the critique, because hospitals (and physician practices) that elect to participate in a program likely have attributes going into the program that will make them successful. As a result, favorable outcomes or spending…

Risk Stratification Of Bundled Payment Models Requires Clinical Data

March 16, 2021Garrett SchmittNo Commentsbundled payment models, clinical data, CMS, risk stratification

Incorporating clinical data into risk stratification could improve the accuracy of CMS bundled payment models like the Oncology Care Model (OCM), according to a new Avalere analysis. The OCM is a bundled payment model that evaluates the total cost of care for episodes initiated by chemotherapy treatments within six-month performance periods (PP). At the end…