{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:43Z","timestamp":1790586043340,"version":"4.1.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"08\/09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Verg\u00fctungssysteme k\u00f6nnen wesentliche Anreize f\u00fcr die Leistungserbringung\nsetzen. Aus theoretischer Perspektive ist der Reformbedarf der\nVerg\u00fctungssysteme an der Schnittstelle zwischen ambulanter und station\u00e4rer\nVersorgung bekannt, aber es fehlen realisierbare Vorschl\u00e4ge. Im Rahmen des\nsekTOR-HF-Projekts wurde ein Konzept f\u00fcr ein Bundled-Payment-System\nentwickelt und dessen Machbarkeit in Deutschland gezeigt.<\/jats:p>\n                  <jats:p>Das Rahmenger\u00fcst f\u00fcr ein Bundled-Payment-System wurde durch einen\npartizipativen Gestaltungsprozess entwickelt. Eine retrospektive Analyse von\nGKV-Leistungsdaten (2018\u20132019) diente zur Berechnung von Bundle-Preisen f\u00fcr\nPatienten mit linksseitiger Herzinsuffizienz. Generalisierte lineare Modelle\nmit Gamma-Verteilung und Link-Funktion wurden f\u00fcr die Preisberechnung und\ndie Identifikation von Kostentreibern verwendet.<\/jats:p>\n                  <jats:p>Vier Bundled-Payment-Szenarien basierend auf den NYHA-Klassen wurden\nermittelt. Bei 129.262 analysierten Patienten mit linksseitiger\nHerzinsuffizienz lagen die j\u00e4hrlichen Erstattungspreise pro Patient f\u00fcr ein\nBundled Payment zwischen 1.928 \u20ac (NYHA I) und 5.567 \u20ac (NYHA IV). Mehrere\nkostensteigernde Komorbidit\u00e4ten (\u201eBundle-Breaker\u201c) wie Nierenversagen,\nmultiples Myelom und Herzstillstand wurden identifiziert.<\/jats:p>\n                  <jats:p>Wir haben einen ersten Proof-of-Concept f\u00fcr die Einf\u00fchrung von Bundled\nPayments im deutschen Gesundheitssystem erstellt und gezeigt, dass sich\npraktikable Gestaltungsoptionen er\u00f6ffnen und die Sch\u00e4tzung von\nErstattungspreisen auf der Basis vorhandener Routinedaten m\u00f6glich\nerscheint.<\/jats:p>","DOI":"10.1055\/a-2808-9797","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:49:58Z","timestamp":1790585398000},"page":"526-533","source":"Crossref","is-referenced-by-count":0,"title":["Bundled Payment \u2013 ein vielversprechender Ansatz in der\nKostenerstattung? Ergebnisse aus dem sekTOR-HF-Projekt f\u00fcr die linksseitige\nHerzinsuffizienz in Deutschland"],"prefix":"10.1055","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9736-7233","authenticated-orcid":false,"given":"Matthias","family":"Arnold","sequence":"additional","affiliation":[{"name":"inav \u2013 privates Institut f\u00fcr angewandte Versorgungsforschung GmbH,\nBerlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Gscheidle","sequence":"additional","affiliation":[{"name":"inav \u2013 privates Institut f\u00fcr angewandte Versorgungsforschung GmbH,\nBerlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Kathrin","family":"Kl\u00e4hn","sequence":"additional","affiliation":[{"name":"inav \u2013 privates Institut f\u00fcr angewandte Versorgungsforschung GmbH,\nBerlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Rottenkolber","sequence":"additional","affiliation":[{"name":"Fachbereich II: Gesundheit, Erziehung & Bildung, Alice Salomon\nHochschule Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonore","family":"Bovy","sequence":"additional","affiliation":[{"name":"InGef \u2013 Institut f\u00fcr angewandte Gesundheitsforschung Berlin GmbH,\nBerlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Ludwig","sequence":"additional","affiliation":[{"name":"InGef \u2013 Institut f\u00fcr angewandte Gesundheitsforschung Berlin GmbH,\nBerlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Joachim","family":"Conrad","sequence":"additional","affiliation":[{"name":"PriMa \u00c4rztegenossenschaft Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Zehe","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum AG, Bad Neustadt an der Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum AG, Bad Neustadt an der Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Griewing","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum AG, Bad Neustadt an der Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Barth","sequence":"additional","affiliation":[{"name":"Campus Bad Neustadt, Rh\u00f6n-Klinikum AG, Bad Neustadt an der Saale,\nGermany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Auner","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum AG, Bad Neustadt an der Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Amelung","sequence":"additional","affiliation":[{"name":"inav \u2013 privates Institut f\u00fcr angewandte Versorgungsforschung GmbH,\nBerlin, Germany"},{"name":"Institut f\u00fcr Epidemiologie, Sozialmedizin und\nGesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover,\nGermany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.5334\/ijic.9029","article-title":"Is There an Ideal Payment Model That Enables Integrated Care: Searching for the\nImpossible?","volume":"24","author":"V Amelung","year":"2024","journal-title":"Int J Integr Care"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-56103-5_1","volume-title":"What Is Integrated Care?","author":"N 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