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Bundling Affordable Care Act Payment Bundling Effective no later than January 1,
2013 the Affordable Care Act Law establishes a national pilot that
encourages doctors, hospitals, and other providers to improve the
coordination and quality of patient care through payment
bundling. Payment Bundling is a structure in which different
health care providers treating you for the same or related conditions
are paid an overall sum for taking care of your condition rather than
being paid for each individual test, treatment, or procedure. In
this pay structure, providers are awarded for coordinating care,
preventing complications and errors, and reducing unnecessary or
duplicate tests and treatments. As an example, instead of a colostomy surgery to treat your Crohn's Disease generating multiple claims from multiple providers, the entire team is compensated with a bundled payment that provides incentives to deliver health care services more efficiently while maintaining or improving quality of care. This pay structure incentivizes providers to reduce costs, and the cost savings are then shared between providers, medicare, and ultimately patients and taxpayers. The surgeon, anaesthesiologist, hospital, labs doing tests prior to the procedure, and follow-up appointments with physicians all get paid together. Just think, your mailbox will not get flooded with bills anymore! Also, these providers will only get paid for what the expected cost of treatment should be for all this work, so if a duplicate test is done, the team only gets paid for one test result. created January 14, 2012 last updated May 3, 2012 |
