Posted 12/09/11 on The Hospitalist Leader
First, before I discuss bundling as a method of payment for healthcare services, I wish to declare my neutrality on the subject. The merits are appreciable if providers approach the implementation properly, and conversely, the detriments are equally clear if they (we) bungle it. Enactment and downstream effects are so murky however, that prognostications are premature.
Second, bundling may not be the preferred payment method for all procedures or diagnoses. Beyond CMS demonstrations and a scant sampling of commercial side ventures—all procedural—little to no chronic care evidence exists (COPD, CHF, sepsis).