11-Put in into Practice: Compare Health Care Payment Models

MODULE 9 | Section 11 of 12

Put in into Practice: Compare Health Care Payment Models

Shonu Gandhi is the Executive Director of Clinical Program Development and Reimbursement Relationships for Dell Medical School. In this presentation, she will discuss Case Rate, an episode-based bundled payment model that addresses the pain-points of those receiving, delivering, and paying for care:
  • Oftentimes, the patient for these conditions feels frustrated at not getting better and the opaqueness around costs, as they get hit with one co-pay after another.
  • Clinical leaders know what would help improve a patient’s condition but have not previously worked in environments that support deploying team-based care that includes supportive services.
  • Employers and payers, for the conditions we’re focused on, have been seeing costs per patient rise consistently—they want to see cost stabilized. Employers want assurances that they are receiving value for their healthcare dollars, and that their employees are truly benefiting.
  • Our internal leadership, like all provider organizations, wants to make sure how we approach alternative payment models is economically sustainable.
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