- Assistant Professor of Medical Ethics and Health Policy
- Assistant Professor of Medicine
- The Wharton School at the University of Pennsylvania, PhD, Health Care Management and Economics
- University of Pennsylvania, MD
- Stanford University, BS, Electrical Engineering and Economic Systems
Amol Navathe, MD, Ph.D, is an Assistant Professor of Health Policy and Medicine, University of Pennsylvania. Prior to joining the University of Pennsylvania, Dr. Navathe served as Managing Director, Healthcare for the firm Navigant where he led the Academic Medical Center, Value Transformation, and Analytic Services practices. Dr. Navathe is a practicing physician, health economist and engineer with expertise in delivery transformation and policy design. His work has focused on two core areas of (1) provider economic behavior including incentive design and behavioral economics and (2) applications of informatics to address health services research questions. These streams include a mix of pragmatic clinical trials and observational data analyses. Current areas of focus include bundled payments, applications of behavioral economics to physicians and non-physician clinicians, and peer comparisons. His work in advanced health data analytics and technology to improve healthcare delivery has been implemented at numerous large health systems. He has also applied his skills to federal policy for health care evidence development and data infrastructure.
Dr. Navathe’s technical expertise focuses on the use of claims and clinical data to measure the costs, quality and appropriateness of care, making inferences on clinical care delivery highly relevant to analysis of health system performance and policy design. He also has deep experience with large scale government led projects, having served as Medical Officer and Senior Program Manager for the $1B federal Comparative Effectiveness Research program, and with informatics and information technology to support health care delivery.
His thought leadership led to founding the new disciplinary academic journal Health Care: the Journal of Delivery Science and Innovation and serving as its Co-Editor-in-Chief as well as serving as Founding Director of the Foundation for Healthcare Innovation. His work on improving health care costs and quality has been published in numerous leading journals including the Journal of the American Medical Association (JAMA), Health Affairs, Annals of Internal Medicine, Health Services Research,American Journal of Managed Care, and other leading academic journals. Dr. Navathe completed his medical training at the University of Pennsylvania School of Medicine, post-graduate medical training at the Brigham and Women’s Hospital, Harvard Medical School, and obtained his Ph.D. in Health Care Management and Economics at The Wharton School, University of Pennsylvania.
One of Obamacare’s big experiments to lower costs is working surprisingly well
The least-sexy news in health care these days — bundled payments — might also be the most important.
Can Bundled Payments Help Control Health Care Costs?
The U.S. spends more per person on health care than any other major industrialized nation. In fact, costs now reach about 18% of GDP and so anything that can slow the climb – or reverse it – tends to get attention. One promising idea for blunting costs comes from new research on how Medicare experimented with bundled payments for knee and hip replacements. That saved about 5% of total costs. Beyond the monetary gain, that approach also appeared to raise the overall quality of care. Amol Navathe, a professor of medicine and health policy at Penn’s Perelman School of Medicine, was part of the research team. He joined the Knowledge@Wharton show, which airs on Wharton Business Radio, SiriusXM channel 111, to discuss the findings.
CMS is Leading the Way Toward Bundled Payments. Should It Be?
The irony of Price’s objection to mandatory payment bundles—that they are ‘experiments’—is the reason why many in healthcare like them. Doctors are scientists, and scientists experiment. ‘The beauty of the mandatory bundle for joint and cardiac procedures is that you basically have a randomized trial where you can see [whether] bundles increase the volume of procedures, [whether] hospitals are able to save money, and [whether] quality is maintained,’ Ezekiel Emanuel, MD, told HCA in an interview. ‘You get real data.’ Emanuel, the founding chair of the Department of Bioethics at the National Institutes of Health and vice provost for global initiatives at the University of Pennsylvania, takes credit for working behind the scenes to launch the OCM, and he has also published studies and opinion letters regarding the efficacy of the joint replacement bundles.
What’s In A Name: Will BPCI-Advanced Hold Back Or Advance Bundled Payment Policy?
On January 9, 2018, the Centers for Medicare and Medicaid Services (CMS) announced Bundled Payments for Care Improvement Advanced (BPCI-Advanced), a forthcoming Medicare bundled payment program that pays physicians and health care organizations for a defined episode of care, instead of individual services, to encourage clinicians and hospitals to improve quality and lower costs.
Hospitals warm up to CMS bundled payments as agency cools off on them
Dr. Amol Navathe, an assistant professor of health policy and medicine at the University of Pennsylvania who studies bundled payment programs, said the first-year results are "really encouraging,"
Bundled-payment joint replacement programs winning over surgeons
"One of the nice things about bundled payment is it can provide a direct financial reward for physicians to work hard on aspects of care that can be difficult and require coordination with the hospital," said Dr. Amol Navathe, an assistant professor of health policy and medicine at the University of Pennsylvania.
Trump Slows Efforts to Cut Health-Care Costs
Undoing Medicare caps for joint replacements will cost $90 million
To Save a Bundle, These Payments Need To Change
Bundled payment systems have been with us a long while and maybe it’s time to tweak them, according to an opinion piece in JAMA. The authors—Amol S. Navathe, MD, Zirui Song, MD, and Ezekiel J. Emanuel, MD—say that the current structure of bundled payment systems limit their effectiveness.
The Next Generation of Episode-Based Payments
Medicare bundled payments have become a cornerstone of the Centers for Medicare & Medicaid Services’ (CMS) reimbursement program, in efforts to reduce healthcare costs.