“Is The Debate Over Retrospective Versus Prospective Bundled Payments A Distraction?” asks a recent article on the Health Affairs Blog. In essence, the argument goes, is the prospective approach of the facility receiving a single check from Centers for Medicare & Medicaid Services (CMS) for payment distribution preferable to the retrospective approach of CMS cutting checks for every claim that is included in the bundle?
MedBen Analytics administers both prospective and retrospective bundles for facilities participating in multiple CMS models… and we can say that, based on our experience, both payment approaches can be equally effective in care redesign, elevating quality and patient outcomes. Ultimately, it comes down to whichever approach the facility prefers.
One opportunity to reinforce coordination of care and high-quality patient outcomes that the article doesn’t touch on – and, we think, a critical one – is gainsharing, which MedBen Analytics also administers. Gainsharing allows the facility to share gains with collaborators (surgeons and post-acute care providers) who participate in care redesign and provide high-quality care to eligible Medicare beneficiaries.
MedBen Analytics is designed with the express purpose of maximizing the value of care provided to patients by decreasing ineffective costly care while helping providers to ensure the best patient care. We’d be happy to show you how our reporting platform can work to your best advantage. To set up a demonstration, please contact MedBen President & COO Kurt Harden at 888-633-2364 or email kharden@medben.com.