Francois de BrantesMcKesson sat down with Francois de Brantes, executive director of the Health Care Incentive Improvement Institute to address our customers’ top questions about bundled payments. Francois addresses the following questions:

How bundled payments work

  • How is the member benefit and product design handled for bundled payments?
  • How is the member obligation handled in bundled payments?
  • How is risk adjustment managed in prospective bundled payments?
  • Who takes responsibility of costs incurred by patients going outside of the care team?

Inside bundled payment models

  • How do the Prometheus ECRs (Evidence-informed Case Rate) compare to the CMMI BPCII (CMMI’s Bundled Payments for Care Improvement Initiative) episode definitions?
  • How configurable are the ECRs?
  • Should we include HIE (Health Information Exchange) interoperability measures as part of our bundled payment metrics?

Best practices for getting started with bundled payments

  • Is prospective bundled payment the ultimate goal, and should we first start with retrospective?
  • For a provider interested in bundled payments, what are the first steps to pursue?
  • For a payer interested in bundled payments, what are the first steps to pursue?
  • How should we determine which episodes to start with?

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