Bundled Payment Programs as an Application of Case Rate Provider Reimbursement

Abstract

Bundled payments for care are an efficient mechanism to align payer, provider, and patient incentives in the provision of health care services for an episode of care. In this chapter, we use agency theory to examine the evolution of bundled payment programs in private and public payer arrangements, and postulate future directions for bundled payment development as a key component in the provision and payment of health care services.

Citation

Gascon, G.M. and Sawchyn, G.I. (2020), "Bundled Payment Programs as an Application of Case Rate Provider Reimbursement", Hefner, J.L., Al-Amin, M., Huerta, T.R., Aldrich, A.M. and Griesenbrock, T.E. (Ed.) Transforming Health Care (Advances in Health Care Management, Vol. 19), Emerald Publishing Limited, Leeds, pp. 1-24. https://doi.org/10.1108/S1474-823120200000019006