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Bundled Payment For Dialysis Patients Can Block Access To Innovative Treatments

POSTED BY Galen Institute on June 3, 2021.

by Grace-Marie Turner | Forbes | June 1, 2020 |

Bundled payments are a good idea, until they aren’t—for patients.

The idea of paying a combined price rather than piecemeal for a routine medical treatment or procedure has gained traction as a way of driving efficiency. You wouldn’t want to buy a car by ordering a carburetor, ignition, fuel tank, braking system, etc.

But when the government controls the payment system, as it does in Medicare, bad decisions can result, with little transparency and choice for patients and a lack of accountability for providers to make sure patients receive personally appropriate care.

An egregious example of this is affecting some patients undergoing dialysis treatment. Medicare began providing a bundled payment for dialysis treatment in 2011. In 2021, the average Medicare bundled rate for a dialysis treatment is about $253 to cover the cost of the dialysis treatment as well as dialysis-related drugs and laboratory tests. The actual rate can vary depending on the region and other factors.

Continue reading this article in Forbes

Filed Under: Forbes, Grace-Marie Turner

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