When designing bundled payments, don’t ignore the lessons of behavioral economics

Jeroen N. Struijs, A.P. Hayen, Koen van der Swaluw

Research output: Non-textual formWeb publication/siteProfessional

Abstract

In health care, all bundled payment models shift financial and clinical accountability to a single provider-led entity that then is responsible for a budget and the quality of care delivered for any given episode. The entity receiving the bundled payment earns a higher margin if a patient has fewer expenditures but also bears the financial risk of (re)admissions and complications. This payment model therefore produces an incentive for providers to coordinate care across settings and not to stint on needed care. When implementing bundled payment models, payers and providers can choose two main strategies regarding the payment flow, namely a prospective payment (which is made before services are rendered) or a retrospective payment (which is made after all services are rendered).
Original languageEnglish
PublisherProject Hope
Media of outputOnline
Publication statusPublished - 2018

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Payment
Healthcare
Accountability
Admission
Incentives
Expenditure
Margin
Quality of care
Financial risk
Prospective payment

Cite this

Struijs, J. N. (Author), Hayen, A. P. (Author), & van der Swaluw, K. (Author). (2018). When designing bundled payments, don’t ignore the lessons of behavioral economics. Web publication/site, Project Hope. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20180420.640240/full/
Struijs, Jeroen N. (Author) ; Hayen, A.P. (Author) ; van der Swaluw, Koen (Author). / When designing bundled payments, don’t ignore the lessons of behavioral economics. [Web publication/site].
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Struijs, JN, Hayen, AP & van der Swaluw, K, When designing bundled payments, don’t ignore the lessons of behavioral economics, 2018, Web publication/site, Project Hope.
When designing bundled payments, don’t ignore the lessons of behavioral economics. Struijs, Jeroen N. (Author); Hayen, A.P. (Author); van der Swaluw, Koen (Author). 2018. Project Hope.

Research output: Non-textual formWeb publication/siteProfessional

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Struijs JN (Author), Hayen AP (Author), van der Swaluw K (Author). When designing bundled payments, don’t ignore the lessons of behavioral economics Project Hope. 2018.