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37 Statistics on What Providers Think About Bundled Payments

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The majority of physicians and hospitals say bundled payments have the most potential to improve healthcare affordability rather than patient-centered medical homes or accountable care organizations, according to survey results from Booz & Company.

"Bundled Care: The Opportunities and Challenges for Providers" was based on an online survey, conducted in 2012, of more than 400 physicians and 150 hospital administrators.

"Of course, ACOs, PCMHs and bundles are not mutually exclusive structures," the study authors wrote. "But bundles are likely seen as the most easily separable because they can be developed independently of the other two approaches. In that sense, they are viewed producing results more quickly, with most of the benefits being cost-based."

Here are some of the study's other key findings.

1. Physicians were asked to rank-order the attractiveness of the following three care delivery models in terms of their affordability, quality and patient experience. The following figures represent the portion of physicians who ranked each value as "most attractive" about the model.

For instance, 51 percent of physicians said the affordability of bundled payments was "most attractive." (Since figures only reflect the portion of respondents who ranked the value first out of three rank-orders, they do not add up to 100.)

Bundles
Affordability — 51 percent
Quality — 26 percent
Patient experience — 23 percent

Patient-centered medical homes
Quality — 49 percent
Affordability — 28 percent
Patient experience — 27 percent

Accountable care organizations
Quality — 43 percent
Patient experience — 29 percent
Affordability — 24 percent

2. Hospitals were also asked to rank-order the attractiveness of the following three care delivery models in terms of their affordability, quality and patient experience. The following figures represent the portion of hospitals that ranked each value as "most attractive." (Since figures only reflect the portion of respondents who ranked the value first out of three rank-orders, they do not add up to 100.)

Bundles
Affordability — 42 percent
Quality — 18 percent
Patient experience — 25 percent

Patient-centered medical homes
Patient experience — 50 percent
Quality — 48 percent
Affordability — 27 percent

Accountable care organizations
Quality — 34 percent
Affordability — 31 percent
Patient experience — 25 percent

3. How many types of bundles do hospitals have? (Figures based on responses from 42 hospitals with bundles.)

One bundle type — 67 percent
Two bundle types — 17 percent
Three bundle types — 17 percent

4. How likely are hospitals to scale up bundle efforts across a broader range of procedures/conditions, care settings, facilities/geographies or partnerships in the future?

Procedures or conditions
Likely to in 1-3 years — 52 percent
Likely to in 3-5 years —31 percent
Likely to in 5+ years — 17 percent
Not at all likely — 0 percent

Care settings
Likely to in 1-3 years — 55 percent
Likely to in 3-5 years —24 percent
Likely to in 5+ years — 17 percent
Not at all likely — 5 percent

Facilities or geographies
Likely to in 1-3 years — 50 percent
Likely to in 3-5 years —26 percent
Likely to in 5+ years — 12 percent
Not at all likely — 12 percent

Partnerships
Likely to in 1-3 years — 45 percent
Likely to in 3-5 years —26 percent
Likely to in 5+ years — 24 percent
Not at all likely — 5 percent

More Articles on Bundled Payments:

Co-Management Verses Bundled Payment — Are These Alignment Strategies Mutually Exclusive?
4 Considerations for Hospital Bundled Payment Programs
4 Key Considerations for Transitioning to Bundled Payments

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