Considerations for Payment Bundling in Cleft Care.
Plast Reconstr Surg
; 147(4): 927-932, 2021 04 01.
Article
en En
| MEDLINE
| ID: mdl-33761507
ABSTRACT
SUMMARY:
Since the introduction of the Bundled Payments for Care Improvement initiative, progress has been made in piloting bundled payment models to improve care coordination and curtail health care expenditures. In light of improvements in patient outcomes and the concomitant reduction in health care spending for certain high-volume and high-cost procedures, such as total joint arthroplasty and breast reconstruction, the authors discuss theoretical considerations for bundling payments for the care of patients with orofacial clefts. The reasons for and against adopting such a payment model to consolidate cleft care, as well as the challenges to implementation, are discussed. The authors purport that bundled payments can centralize components of cleft care and offer financial incentives to reduce costs and improve the value of care provided, but that risk adjustment based on the longitudinal nature of care, disease severity, etiologic heterogeneity, variations in outcomes reporting, and varying definitions of the episode of care remain significant barriers to implementation.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Mecanismo de Reembolso
/
Labio Leporino
/
Fisura del Paladar
/
Procedimientos de Cirugía Plástica
Límite:
Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article