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A single case agreement is a just-in-time contracting model, whereby the COE solution first commits to a surgery and then later finds a surgeon to contract with in order to complete that procedure. By virtue of doing that, there really is no quality evaluation. There is no bundled payment model and is instead contracted at a fee-for-service rate. This is a problem for employers who expect their centers of excellence solution to provide high-quality care at lower, pre-negotiated, bundled rates. Watch the video to learn more about why it is important to evaluate if a COE solution is using single case agreements or true, value based bundles.
Read more on our blog: carrumhealth.com/blog/what-is...