And third, industry research suggests that payment bundling is a stepping stone toward accountable care organizations, an emerging model of healthcare that payers will deploy in months and years to come.' Two, at least some of the investment in payment bundling can be treated favorably - as a medical expense - under medical-loss ratio rules of the healthcare reform law, as long as quality measurement and improvement targets are included in the design features. 'One, unlike many investments, payment bundling can deliver ROI immediately through lower, recontracted costs for medical services. 'Automated payment-bundling software is a smart investment by payers for at least three reasons,' Rideout added. 'Automation, now possible with TriZetto's NetworX Payment Bundling Administration solution, will ease a payer's deployment of value-based reimbursement across its network. 'The catch has been that healthcare payers have had to administer payment bundling manually, which is not sustainable for scaled deployment of this highly promising model of clinician reimbursement,' said Jeff Rideout, M.D., senior vice president and chief medical officer at TriZetto. Recent healthcare reform legislation calls for the development of payment-bundling programs. A growing body of evidence suggests that payment bundling, one form of value-based reimbursement, can help reduce costs for healthcare payers, improve profit for clinicians and hospitals, and enhance the clinical outcomes and satisfaction of patients.

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