Table 2.

Incentive programs that span multiple episodes of care

Program	Primary targeted entity	Description
Relative value health insurance²²	Patients and providers	Theoretical system that shifts patient cost-sharing incentives from episodes of care to fixed monthly premiums. In the same manner as conventional V-BID programs, it uses lower pricing to incentive high-value care and higher pricing to disincentive low-value care.
Global payments³⁸	Health systems	Capitation or partial-capitation system with quality and efficiency incentives
Bundled payments³⁹	Health systems	Hybrid system that incorporates multiple episodes of care by multiple providers into a single episode.
Medicare value-based purchasing program⁴⁰	Health systems	Fee-for-service-based system that incentivizes efficient, quality care over multiple patients/encounters.
Medicare physician group demonstration projects⁴¹	Physician groups	Fee-for-service-based system that incentives efficient, quality care over multiple patients/encounters.
Medicare physician quality reporting system⁴²	Individual physicians and physician groups	Fee-for-service-based system that incentivizes care based on self-selected quality measures to be assessed over multiple patients/encounters.