Medicare and other insurers have been testing bundled payments as a way to align incentives and increase the value of health care. We will review the existing evidence on the effectiveness of bundled payments, paying attention to intended and unintended effects, including the effects of patient and provider selection. We will also explore the latest developments in bundled payment evidence and policymaking.
Amol Navathe, MD, PhD, is an Assistant Professor of Health Policy and Medicine, University of Pennsylvania. Prior to joining the University of Pennsylvania, Dr. Navathe served as Managing Director, Healthcare for the firm Navigant, where he led the Academic Medical Center, Value Transformation, and Analytic Services practices. Dr. Navathe is a practicing physician, health economist, and engineer with expertise in delivery transformation and policy design.
His thought leadership led to founding the new disciplinary academic journal Health Care: the Journal of Delivery Science and Innovation and serving as its Co-Editor-in-Chief, as well as serving as Founding Director of the Foundation for Healthcare Innovation. His work on improving health care costs and quality has been published in numerous leading journals, including the Journal of the American Medical Association (JAMA), Health Affairs, Annals of Internal Medicine, Health Services Research, American Journal of Managed Care, and other leading academic journals. Dr. Navathe completed his medical training at the University of Pennsylvania School of Medicine; post-graduate medical training at the Brigham and Women’s Hospital, Harvard Medical School; and obtained his Ph.D. in Health Care Management and Economics at The Wharton School, University of Pennsylvania.
His work has focused on two core areas: (1) provider economic behavior, including incentive design and behavioral economics, and (2) applications of informatics to address health services research questions. These streams include a mix of pragmatic clinical trials and observational data analyses. Current areas of focus include bundled payments, applications of behavioral economics to physicians and non-physician clinicians, and peer comparisons. His work in advanced health data analytics and technology to improve health care delivery has been implemented at numerous large health systems. He has also applied his skills to federal policy for health care evidence development and data infrastructure.
Dr. Navathe’s technical expertise focuses on the use of claims and clinical data to measure the costs, quality and appropriateness of care, making inferences on clinical care delivery highly relevant to analysis of health system performance and policy design. He also has deep experience with large-scale government-led projects, having served as Medical Officer and Senior Program Manager for the $1B federal Comparative Effectiveness Research program, and with informatics and information technology to support health care delivery.
Dr. Navathe is inspired to transform health care delivery for his patients. As a practicing physician, he sees the complexity and hardships of health care financing and delivery in a very personal way. He is inspired by his patients on a day-to-day basis and hopes that his work will improve their lives and those of Americans nationwide.