Beyond ACOs and bundled payments: Medicare's shift toward accountability in fee-for-service.

@article{Chen2014BeyondAA,
  title={Beyond ACOs and bundled payments: Medicare's shift toward accountability in fee-for-service.},
  author={Christopher S. Chen and D. Clay Ackerly},
  journal={JAMA},
  year={2014},
  volume={311 7},
  pages={
          673-4
        }
}
For all the attention paid to accountable care models, few observers have recognized that Medicare is rolling out the core framework of bundled payments within the hospital fee-for-service payment system. Under its hospital value-based purchasing (HVBP) program, Medicare has established the Medicare Spending Per Beneficiary (MSPB) metric, defined as the average Medicare Part A and Part B spending per patient (eg, all traditional Medicare fee-for-service spending outside of prescription drug… CONTINUE READING

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