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Providers may leave bundled payment models due to financial risk, GAO says
Becker's Healthcare January 24, 2019
Whether a provider participates in one of CMS’ bundled payment models is influenced by their likelihood of financial gain, according to a report publicly released by the Government Accountability Office Jan. 22.
Four things to know from the 44-page report, which was initially published Dec. 21:
1. CMS tested or was in the process of testing six episode-based payment models as of February 2018. Of these models, all but one were voluntary.
2. Stakeholders interviewed by the GAO said voluntary models largely benefit providers, as they tend to have more generous terms. They also allow providers to only participate in the models they are likely to...
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