Which payment method aligns incentives between healthcare providers and physicians?

Prepare for the HFMA Business of Health Care Test. Study with flashcards and multiple choice questions, each question offers hints and explanations to boost your confidence. Ace your exam!

Bundled payment is a payment method designed to align incentives between healthcare providers and physicians by providing a single comprehensive payment for all the services related to a specific treatment or condition over a defined period. This approach encourages collaboration among healthcare providers, as they work together to deliver quality care while managing costs within the payment framework.

In a bundled payment model, providers share the financial responsibility for the patient's care, fostering a team-based approach to treatment. This collaboration can improve patient outcomes by promoting coordinated care and reducing unnecessary services, as providers are incentivized to deliver efficient, high-quality care rather than simply maximizing the number of individual procedures or services rendered.

This contrasts with fee-for-service payment, which compensates providers for each individual service rendered, potentially promoting a volume-driven approach rather than a focus on overall patient outcomes. Similarly, per-procedure payments can lead to similar volume-driven practices without the collaborative benefit offered by bundled payments. Capitation involves paying a fixed amount per patient regardless of the services provided, which can lead to underutilization of care if not managed properly. Thus, bundled payments uniquely foster a cooperative environment that prioritizes broad health outcomes over singular financial incentives.

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