Baptist Health System: Succeeding in bundled payments through behavioral principles

Abstract • Program design features (e.g., governance method, payout design) can be used effectively to gain physician buy-in and participation within organizations undertaking new bundled payment programs. • Gainsharing mechanisms that intentionally integrate individual- and cohort-level incentives maximize behavior change for physicians across the performance spectrum. • Data transparency is vital to bundling efforts: it fosters the kind of communication, feedback, and consensus needed not only to reduce cost structures and improve performance, but also create cultures of improvement that extend beyond new payment incentives.