Getting Bundled Payments Right

Providers contemplating entering into bundled-payment contracts can learn from the experiences of Hoag Orthopedic Institute (HOI), a specialty orthopedic hospital in southern California, and the Rothman Institute (RI), a private-practice physician group in metropolitan Philadelphia. They have successfully used bundled payments to capture the value created by cost-effectively delivering superior patient outcomes. Their experiences reveal three keys for successful bundling: excellent data on outcomes and costs, proactive management of the patient, and alignment between physicians and hospitals.

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