SNAPSHOT: The IHA Bundled Episode Payment and Gainsharing Demonstration

This report by Kevin Bozic, M.D., M.B.A., and M. Susan Ridgely, J.D., was released by the federal Agency for Healthcare Research and Quality in February 2015. The authors summarized reports about the Integrated Healthcare Association’s (IHA) implementation of a bundled episode payment demonstration for orthopedic procedures for commercial health plan enrollees in California. The demonstration partners experienced challenges in developing the bundles, such that once the demonstration began, the volume of bundled episodes was not large enough for evaluators to detect the impact of the approach on quality of care or cost. This report discusses . . .