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The key benefits of participating in bundled payments for health systems and patients

With the expectation that the Centers for Medicare and Medicaid Services (CMS) will announce its new bundled payment model in the coming months, bundled payment models have been thrust into the spotlight as a viable opportunity for health systems to participate in value-based reimbursement — an opportunity presenting the question for many of when, rather than if — as the industry marches steadily in that direction.


The importance of conveners in bundled payment models

Bundled payments continue to demonstrate success and insurers are looking for new ways to test their efficacy; however, given the apprehension surrounding mandatory models, CMS will likely focus their resources on voluntary episode payment models – ones that allow providers to opt-in to participation and assess their readiness and willingness to accept financial risk and responsibility for patients over a longer period. Under this value-based construct, conveners can – and do – play a significant role in driving the adoption of new models as CMS continues to grow these initiatives.

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