Nine percent of community hospitals are considering participation in a bundled payment program, and 7 percent are in negotiations with a private payer to offer a bundled payment within the next 12 months, according to the recent AHA Survey of Care Systems and Payment.

Bundling is a payment mechanism in which a provider entity sets a target price for services provided across one or more parts of the care continuum. For example, a bundled payment might include all hospital, physician and post-acute or support services for a joint replacement or management of a chronic disease for one year. Bundles are designed to shift risk from payers to providers, creating an incentive for providers to
manage costs.

Most hospitals that have a bundled payment arrangement are affiliated with a health care system and nearly 80 percent are located in larger, urban settings. Larger hospitals (100–399 beds) represent the largest percentage of participants and 66 percent are nonprofit.

For information on how to participate in the AHA Survey of Care Systems and Payment or to learn more about the results, call 800-530-9029.

Coming in February

Trustee will explore patient engagement measures from Hospitals & Health Networks Most Wired Survey.