Significant heterogeneity exists in the implementation of bundled care. This chapter outlines the different typologies of bundled care programs and, as a case study, highlights the implementation of bundled care in Ontario. There are several lessons for those considering adopting bundled care in their local context. In particular, great consideration should be given to the duration of treatment, the type of condition, the event triggering the beginning of the bundle and the care context, and providers included in the bundle. More particularly, physician payment should be included in a bundle, as physicians make most of the decisions about care provided to patients. Finally, for health systems considering the implementation of bundled care programs, there must be widespread commitment and adoption from both payers and providers.

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Designing Financial Incentives for Integrated Care: A Case Study of Bundled Care

  • Mudathira Kadu,
  • Jason M. Sutherland,
  • Lusine Abrahamyan,
  • Walter P. Wodchis

摘要

Significant heterogeneity exists in the implementation of bundled care. This chapter outlines the different typologies of bundled care programs and, as a case study, highlights the implementation of bundled care in Ontario. There are several lessons for those considering adopting bundled care in their local context. In particular, great consideration should be given to the duration of treatment, the type of condition, the event triggering the beginning of the bundle and the care context, and providers included in the bundle. More particularly, physician payment should be included in a bundle, as physicians make most of the decisions about care provided to patients. Finally, for health systems considering the implementation of bundled care programs, there must be widespread commitment and adoption from both payers and providers.