Away from the world of politics there is a sensible debate to be had about payment methods for healthcare. Here you will find evidence, shared goals and specific payment models from the US being looked at in detail. It's a debate about total cost of care and a two sided risk model that could potentially be cheaper and better for both patients and providers.

Bundle payments provoke debate, "the interesting question is; 'post operatively, do you need that expensive care'?" Population health is an inevitable terrain for the discussion, could alternative payment models benefit wider society?

"Healthy people don't need anything other than wellness care, the poorly managed chronically co-morbid medical conditions are the population that is costing us and driving the cost of care up disproportionately greater than everyone else"; how do the needs of these two groups knit together in a way that is helpful and equitable financially?

How is enhanced recovery and perioperative medicine helping to reduce the cost of healthcare? Can prehabilitation help reduce costs even further?

The Centers for Medicare and Medicaid services (CMS) website is here: https://www.cms.gov/

Presented by Desiree Chappell with Monty Mythen, Sol Aronson and their guest Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania.

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