June 25, 2020

RLI Webinar Discusses How to Implement Bundles of Care Payment Models

The Radiology Leadership Institute® (RLI) and the American Medical Association (AMA) recently convened virtually to present the RLI Power Hour webinar "Understanding Bundles of Care Payment Models." 

The program highlighted issues to consider when designing or accepting a bundled payment plan and the diverse priorities that stakeholders carry into the process of bundle design.

The webinar was moderated by Geoffrey Rubin, MD, MBA, FACR, professor of radiology and bioengineering at Duke University, and Kathleen Blake, MD, MPH, vice president of healthcare quality for the AMA. It featured an expert panel representing various stakeholders assembled to discuss how everyone must come together to make these bundles work effectively.

Christina Smith Ritter, PhD, director of CMS’ Patient Care Models Group, shared what the Agency is seeking from physicians and provider organizations when it comes to bundles of care payment models. She said bundles of care payment models are ideal for radiology because radiologists do not manage care episodes for long periods of time.

Richard Duszak Jr., MD, FACR, vice chair for health policy and practice at Emory University, spoke on behalf of the American College of Radiology®. He agreed with Ritter as he discussed considerations for practice and department leaders when it comes bundled payment in radiology.

Duszak noted the main questions radiology practice leaders should ask when considering bundles of care payment models are:

  • Are you assuming risk?
  • Who controls the episode?
  • How variable is imaging?

Kevin Bozic, MD, MBA, executive director of the UT Health Austin's Musculoskeletal Institute, used total joint replacement (TJR) to illustrate how payment models help drive delivery system reform. A key result of bundled care payment models with TJR was a 1.6% reduction in episode spending.

“It led to lower inpatient and post-acute care spending, reduced readmissions, and increased discharge to home/self-care,” he said. “We have a significant opportunity to drive value through care redesign. Value-based payment models drive care redesign efforts by aligning incentives around value delivered to patients. It’s a journey.”

The webinar is available now for convenient viewing.