Harnessing Emerging Information Technology for Bundled Payment Care Using a Value-Driven Framework

NEJM October 10, 2019
Kyan C. Safavi, MD, MBA, David W. Bates, MD, MSc & Sreekanth K. Chaguturu, MD

The adoption of electronic health records (EHRs) over the past decade and the corresponding development of value-based care and payment models have created opportunities for innovation, but many organizations have encountered barriers, whether technological, financial, or organizational. Challenges remain, but emerging information technology advancements are opening avenues to successfully implement bundled payment care models.

We suggest a four-part framework for health care systems to build value-driven technology applications to achieve success in bundled payments. This framework can be extended to other types of value-based models, though we focus on bundles. In addition, we identify gaps and offer examples of innovation within our health system and others that demonstrate early progress in addressing these. Our focus is on the technologic tools...

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