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Changes to the World of Medical Insurance

Deirdre Baggot is one of the leading experts when it comes to the business side of medical care. Currently, Baggot is an expert for the Centers for Medicare & Medicaid Services, specializing in bundled payments. Prior to that, she was the administrator of a cardiac and vascular center. Recently, she has been doing a lot of writing and analysis of Medicare’s new payment system.

Bundled payments are the new method adopted by Medicare to reimburse providers. This system is designed to streamline the way Medicare works. Before the adoption of bundled payments, each physician received a fee for the services rendered. One example of how inefficient this was can be seen in the way a single surgery might be handled. For that one procedure, Medicare would issue several payments: one to the hospital, one to the surgeon, and one to the anesthesiologist. Read More articles at acc.org to learn more.

Under the new bundled payment system, Medicare will issue one payment to cover both the hospital and providers. The bundled payment is based on a rate determined by analyzing similar procedures performed in the past. Bundled payments are much more streamlined for Medicare to administer. They also put an appropriate level pressure on hospitals to provide value for services and minimize the number of extra tests ordered.

Deirdre Baggot’s analysis is colored by her understanding of the medical industry as a whole. She has both a Masters in Nursing and a Masters in Business Administration. She understands that soon, bundled payments won’t just be a feature of Medicare. Once adopted by that large system, smaller insurers will adapt to it, too. They will use the same method of determining a rate and issuing one payment to the system, not providers as individuals.

Deirdre Baggot sees the system of bundled payments as overwhelmingly positive development. She points out that this is an evidence-based measure. All of the studies and research show that this will improve efficiency and likely have a positive impact on the level of care and how it’s delivered. Baggot is a sought-after public speaker on this topic. She is able to explain it clearly and effectively to journalists and medical administrators alike. Check: https://vimeo.com/101082351