Experts push more bundled pay initiatives to curb healthcare spending

Share this article:

In a set of recommendations published in the New England Journal of Medicine on Wednesday, authors of a new report urge the federal government to accelerate the adoption of fee-for-service alternatives such as bundled payment programs.

Under this model, payers would pay a fixed amount to providers — including post-acute and rehabilitation facilities — for a bundle of services. This strategy has been promoted among long-term care payment experts.

Healthcare policy experts assembled by the liberal Center for American Progress (CAP) said that while the Affordable Care Act is expected to greatly reduce Medicare spending, overall healthcare spending is still growing at an unsustainable rate.

Panelists promoted a payment model of self-regulation, under which public and private payers would negotiate payment rates with providers. The rates would be binding for all payers and providers in a given state.  Additionally, the CAP panelists encouraged more rapid and widespread use of competitive bidding programs for all commodities. Competitive bidding programs have elicited mixed reactions from long-term care providers.

Panelists included Ezekial Emanuel, M.D., an Obama administration healthcare adviser; Peter Orszag, former director of the Office of Management and Budget; Donald Berwick, M.D., former administrator of the Centers for Medicare & Medicaid Services.

Click here to read the full proposal.

Share this article:

More in News

Involving nursing assistants with decisions may result in higher quality, study finds

Empowering nursing assistants and family members of nursing home residents in decision-making results improved service, a new study finds.

Also in the news for July 28, 2014 . . .

Nursing home aide accused of choking a resident....Monitoring pulse after stroke may prevent another stroke...Slow walking speed may predict dementia

Site-neutral payments likely to move forward, experts believe

Site-neutral payments likely to move forward, experts believe

As the Centers for Medicare & Medicaid Services and the Medicare Payment Advisory Commission evaluate site-neutral payments, a new brief from Health Affairs and the Robert Wood Johnson Foundation explores ...