Project Summary: Hospital Bundled Payment Opportunity Analysis
Category: Bundled Payments, Payment Reform
Background: Currently very little data exists to address provider and facility concerns about participating in alternative payment models.
Objective: Provide analysis to encourage hospitals to pursue payment alternatives to fee-for-service models. Additionally, to support innovative, aligned models that promote improved population health outcomes, care delivery, and patient experience consistent with the principles of the Triple Aim.
Data Analyzed: Commercial and Medicaid data from 2009-2011 to examine utilization trends across CO hospitals.
Results: This non-profit was able to display statewide average cumulative costs for medical and surgical episodes over a 90-day period, including the anchor admission. Plus, they were also able to summarize overall patterns of utilization across hospital categories.