Creating a bundled care payment model for treatment of pelvic floor disorders: introducing value into urogynecology

Gabriela E. Halder, Jessica Cardwell, Hanhai Gao, Haley Gardiner, Stephanie Nutt, Amanda White, Amy Young, Rebecca G. Rogers

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Ineffective healthcare delivery and expenditures associated with the traditional fee for service in-person models have turned attention toward alternative payment models as a means of enhancing healthcare quality in the United States. Bundled care payment models are a form of alternate payment models that provide a single reimbursement for all services rendered for an episode of care and have been developed extensively in primary care settings with limited literature in urogynecology. We describe the process used to create a bundled care payment model for women seeking care in a subspecialty clinic for pelvic floor disorders in partnership with our safety net insurer. The process included estimation of prior average spend, the design of an integrated practice unit, creation of pelvic floor pathways, approximation of utilization rates, and estimation of reimbursement and expenses.

Original languageEnglish (US)
Pages (from-to)538-542.e1
JournalAmerican journal of obstetrics and gynecology
Volume223
Issue number4
DOIs
StatePublished - Oct 2020
Externally publishedYes

Keywords

  • bundled care
  • payment models
  • urogynecology
  • value-based care

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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