Health systems and hospitals with strong cardiac, orthopedic, spine, and oncology programs may be well positioned to take on a value-based episodic care arrangement with a payer—that is, to “bundle” the professional and facility reimbursement into one payment to the hospital or sponsor for a single admission or episode. Bundled payments can improve an organization’s quality of care and patient outcomes and potentially lead to a shift in market share and added volume, resulting in lower costs per case. The benefits are significant, and many forward-thinking organizations are seizing on this opportunity—now.

GE Healthcare Partners has developed bundled products across a variety of care settings, including inpatient, outpatient, behavioral health, chronic care service providers, post-acute, and home-based care. We have led bundled payment initiatives in major academic medical centers, large not-for-profit health systems, medical groups, for-profit post-acute organizations, ambulatory surgery companies, and health systems across the nation. Our work cuts across multiple specialties and conditions, such as cardiac and orthopedics, as they represent the most prevalent bundles in use today, as well as urology, infectious disease, maternal, pediatrics, cancer, spine, neurosurgery, and others. Bundles we have developed include, but are not limited to:

  • Asthma
  • Attention deficit/hyperactivity disorder (“ADHD”)
  • Cholecystectomy
  • Chronic obstructive pulmonary disease
  • Colonoscopy
  • Congestive heart failure
  • Coronary artery bypass graft
  • Hip, knee, and ankle replacement
  • Oncology
  • Oppositional defiant disorder
  • Percutaneous coronary intervention
  • Perinatal
  • Sepsis
  • Tonsillectomy
  • Upper respiratory infection
  • Urinary tract infection

GE Healthcare Partners offers a broad array of advisory services supporting the development, implementation, and activation of episodes of care and bundled payment programs. Our approach relies heavily on physicians. In our experience, success depends on all key provider stakeholders—facility leadership, service line leaders, clinicians, employees, and others—understanding and committing to the process. Our unparalleled experience in change management helps facilitate our clients' transition to bundled payments and value-based care.

Want to know more about how we can help with Episodes of Care and Bundled Payments? Contact Us