Bundled Payment Options

Maximize Rewards Using Innovative Payment Models

Policymakers are exploring alternatives to fee-for-service payment. “Bundled payment” is an alternative payment model that rewards providers for identifying efficiency gains, effectively coordinating patient care and improving quality. AGA is committed to preparing you for success in new reimbursement environments.

What is a Bundled Payment?

  • Single payment for a condition or treatment
  • Covers a pre-defined set of services across multiple providers and multiple settings
  • Aims to improve the value of health care (quality/cost) by:
    • Controlling costs
    • Improving collaboration among providers
    • Improving patient outcomes and reducing theincidence of complications

aga colonoscopy bundled payment model

The AGA developed a bundled payment framework for colonoscopy performed for colorectal cancer screening or surveillance. 

AGA does not recommend a payment rate for a colonoscopy bundle. This model provides physicians with a framework to use when negotiating with local entities. 

AGA Episode Payment Framework for GERD

AGA created an episode payment model for the treatment of GERD. The episode addresses medical as well as surgical options for the management of GERD, but does not include the costs of surgery or the costs of complications requiring surgical intervention.

LEARN ABOUT BUNDLED PAYMENTS

 

BROUGHT TO YOU AS PART OF THE
AGA Roadmap to the Future of GI