Conceptual Considerations for Payment Bundling in Breast Reconstruction.
Plastic and reconstructive surgery
Centers for Medicare and Medicaid Services, U.S., Costs and Cost Analysis, Fee-for-Service Plans, Health Care Costs, Health Care Reform, Humans, Inventions, Mammaplasty, Quality Improvement, United States
Rising health care costs and quality demands have driven both the Centers for Medicare and Medicaid Services and the private sector to seek innovations in health system design by placing institutions at financial risk. Novel care models, such as bundled reimbursement, aim to boost value though quality improvement and cost reduction. The Center for Medicare and Medicaid Innovation is leading the charge in this area with multiple pilots and mandates, including Comprehensive Care for Joint Replacement. Other high-cost and high-volume procedures could be considered for bundling in the future, including breast reconstruction. In this article, conceptual considerations surrounding bundling of breast reconstruction are discussed.
Sheckter, Clifford C; Razdan, Shantanu N; Disa, Joseph J; Mehrara, Babak J; and Matros, Evan, "Conceptual Considerations for Payment Bundling in Breast Reconstruction." (2018). Maine Medical Center. 1871.