The Bundled Payments for Care Improvement (BPCI) Initiative from Medicare will have a significant impact on specialists and primary-care physicians who deliver services that are bundled. It is a vehicle for compressing compensation that is not based on the number of procedures but rather on the cost per procedure. Unlike the reduction of fees in a fee-for-service approach, this risk mechanism offers the possibility of an upside if costs are dramatically contained, yet it still will have the global effect of reducing compensation, most likely on the physician side. As physicians who are affected by this payment model look for ways to recover some of the lost revenue, models like hybrid concierge care will become more attractive. This will be true particularly in certain specialties like cardiology, which is heavily impacted by this compensation mechanism.
SOURCE: http://www.diagnosticimaging.com/blog/bundled-payments-and-concierge-care#sthash.jx1HgGTP.dpuf
