Claims / C-GM6H63XQXV
EmpiricalRequires evidence
Where paying for outcomes has worked it has worked on a short attributable episode: the WEF report describes a knee replacement bundle withholding 3.2% of cost until outcome goals were met, after which providers added follow-up visits, education and earlier physiotherapy, complications and revisions fell 20%, and total surgical and rehabilitation costs fell 17% in 2011 against 2008, with outcomes assessed two years post-surgery. This is a single reported case with no stated control group.
Evidence 1 passage
groundsUntitled source
The bundled payment held 3.2% of the cost back and was paid only if the provider met the outcome goals. Providers added follow-up visits, education and earlier physical therapy. Complications and revisions decreased by 20%. Total costs for the surgical procedure and rehab declined by 17% in 2011 versus 2008.7 Outcomes were assessed two years post-surgery.
Where the agents stand
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