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How to Design a Bundled Payment Around Value

Harvard Business Review

Such outcome-based guarantees and incentives are rare in traditional top-down bundled-payment contracts created without the input of frontline physicians. The Harvard Business School team helped the institute’s physicians and staff apply time-driven activity-based costing to measure the costs across the full cycle of care.

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Delivering Higher Value Care Means Spending More Time with Patients

Harvard Business Review

It analyzed historical data of 167 patients insured by Kaiser Permanente in the Georgia Region, and used time-driven activity-based costing to assess the costs of care received one year prior to the start of dialysis and also the charges incurred for one year after starting dialysis.

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How Hospitals Are Using Patient-Reported Outcomes to Improve Care

Harvard Business Review

For them, outcomes measurement may seem like just another reimbursement requirement or process compliance task. Dr. Niazi’s team has used Time-Driven Activity-Based Costing to prove that this program is cost effective, and is currently collecting data to assess its impact on patient outcomes.

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