ICD-10 will drive initiatives such as bundling
as a component of health care payment reform. Therefore reimbursement, and case management and other areas must be viewed in a broader landscape. HIPAA mandates and health care reform impact one another.
In the Wall Street Journal’s “Study Raises Questions About ‘Bundling’ To Pay Doctors” notes, There is “… concern that paying fees to medical providers for each service may lead to unnecessary care. But there’s no easy way to replace the massively complicated fee-for-service system. One of the suggestions for new-style payment is ‘bundling’…,” Fee-for-service payment is blamed for many of the problems observed in the US health care system.
Bundling payment for services that patients receive across a single episode of care, such as heart bypass surgery or a hip replacement, is one way to encourage doctors, hospitals and other health care providers to work together to better coordinate care for patients both when they are in the hospital and after they are discharged. Such initiatives can help improve health, improve the quality of care, and lower costs.”
ICD-10 will re-define medical concepts, DRG reimbursement, case management and other areas that must be factored into the bundling equation.
ICD-10 is not one of the factors mentioned in the article, however adoption of bundling and the transition to ICD-10 will be co-mingled. No benefit will come from bundling, we predict, until after ICD-10 is implemented. ICD-10 transitions, the ICD-10 vendor assessment, and the ICD-10 assessment should factor bundling payments in for health care providers.