Medicare’s Bundled Payment Models

JAMA Network September 13, 2022
Amol S. Navathe, MD, PhD; Joshua M. Liao, MD, MSc

To the Editor A recent Viewpoint¹ suggested that bundled payments represent a promising part of payment reform. Although we agree with this perspective and with the policy redesign areas highlighted by the authors, we would like to present some additional considerations.

First, cost reduction incentives tend to be more effective when directed toward organizations that are free from conflicting incentives. This dynamic is reflected in post–acute care savings generated by hospitals and...

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