Provider selection framework for bundled payments in healthcare services

Seokjun Youn, Subodha Kumar, Anupam Agrawal, Chelliah Sriskandarajah

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Identification of competitive healthcare providers is an important issue for the successful operation of a bundled payment reimbursement program. We develop a healthcare provider selection framework via data envelopment analysis (DEA) and combinatorial auction (CA). Our goal is to cover target regions with adequate numbers of healthcare providers to optimally deploy a bundled payment program across these regions. Our methodology balances bid prices and performance of applicants to cover the entire regions in an equitable manner, allows for provider preferences in selecting the bundle of services, and determines winners considering service quality, efficiency and the price of the bundles. Our work provides a practical and systematic selection procedure for payers compared to the extant subjective selection methods.

Original languageEnglish (US)
Title of host publication26th Americas Conference on Information Systems, AMCIS 2020
PublisherAssociation for Information Systems
ISBN (Electronic)9781733632546
StatePublished - 2020
Event26th Americas Conference on Information Systems, AMCIS 2020 - Salt Lake City, Virtual, United States
Duration: Aug 10 2020Aug 14 2020

Publication series

Name26th Americas Conference on Information Systems, AMCIS 2020

Conference

Conference26th Americas Conference on Information Systems, AMCIS 2020
Country/TerritoryUnited States
CitySalt Lake City, Virtual
Period8/10/208/14/20

Keywords

  • Bundled payment
  • Combinatorial auctions
  • Data envelopment analysis
  • Healthcare
  • Winner determination

ASJC Scopus subject areas

  • Computer Science Applications
  • Information Systems
  • Computer Networks and Communications
  • Library and Information Sciences

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