Definition: Gainsharing / AMS Gainsharing Program

Gainsharing is the direct payment by hospitals to physicians, based on quality of care improvement and efficient inpatient performance (reducing hospital costs).  Unlike “Shared Savings”, it is based on hospital costs not payments.  AMS has designed, developed and implemented large scale comprehensive gainsharing programs (all DRGs, all costs).  The AMS Gainsharing Program can apply to Medicare fee-for-service patients under Medicare Bundled Payment for Care Improvement Initiatives (specifically Model 1) or as a Commercial Gainsharing Program that includes all cases except Medicare and Medicaid fee-for-service patients.