HCA seeks examples of bundled payment in care delivery

The Health Care Authority (HCA) has issued a request for information (RFI) to learn more about what providers around the state have done with bundled episodes of care. This will help inform HCA’s future planning around bundled payments.

Bundled payments are a key strategy for HCA’s move toward value-based purchasing. By 2018, bundled payments will be implemented agency-wide, to include both public employees and Apple Health (Medicaid) populations.

Bundled payments for clinical episodes of care entail paying one sum for the entire range of care, from pre-surgical visit to surgery and discharge.

HCA created its first bundled payment program in 2016, when it contracted with Virginia Mason Medical Center as a “center of excellence” for hip and knee joint replacements for public employees enrolled in the Uniform Medical Plan.

HCA will collect and analyze the RFI responses and share the results at our Healthier Washington Purchaser Conference and Symposium October 18-19, 2017.