Cost savings and physician responses to global bundled payments for Medicare Heart Bypass Surgery
Cromwell, J., Dayhoff, D. A., & Thoumaian, A. H. (1997). Cost savings and physician responses to global bundled payments for Medicare Heart Bypass Surgery. Health Care Financing Review, 19(1), 41-57.
In 1991, the Health Care Financing Administration (HCFA) began the Medicare Participating Heart Bypass Center Demonstration, in which hospitals and physicians are paid a single negotiated global price for all inpatient care for heart bypass patients. During the first 27 months of the demonstration, the Government and beneficiaries together saved more than $17 million on bypass surgery in four participating institutions. Average total cost per case fell in three of the four hospitals during the 1990-93 period as the alignment of physician and hospital incentives resulted in physicians changing their practice patterns to shorten stays and reduce costs