Performance-based bundled payments: potential benefits and burdens.
Performance-based bundled payments have emerged as the most recent iteration of pay for performance. These are programs in which providers are paid a single fee for a set of evidenced-based services related to a diagnosis. The payments are typically linked to outcomes as well as other quality measures. This paper reviews two prominent bundled payment programs--PROMETHEUS and ProvenCare--and discusses the potential pitfalls of these approaches.
Satin
David J
DJ
Center for Bioethics, University of Minnesota, USA.
Miles
Justin
J
D003363:Cost Control / Q000639:trends; D019317:Evidence-Based Medicine / Q000191:economics*; D005544:Forecasting; D006801:Humans; D008910:Minnesota; D011787:Quality of Health Care / Q000191:economics*; D012052:Reimbursement, Incentive / Q000191:economics* / Q000639:trends; D013221:State Health Plans / Q000191:economics*; D014481:United States