Bundled Payment Initiative To Lower Healthcare Costs, Help Coordinate Care

Bundled Payment Initiative To Lower Healthcare Costs, Help Coordinate Care

A new program to aid and improve patient care while patients are in the hospital and after they are discharged has been announced by the U. S. department of Health and Human Services ( HHS ).
These initiatives will also actuate doctors, nurses and technical to perform coordinated care and thence reduce cost. Till date, hospitals, physicians, and other clinicians who feather care for beneficiaries bill are paid separately for their services by Medicare. However, with this initiative they can get bundled payments to treat a patient for specific medical aspect during a single hospital stay, also termed as episode of care.
Doctors, hospitals and other healthcare providers can employ to participate in this program. It offers four models:
Model 1:
In this model, the episode of care would be exclusive as the inpatient stay in the general acute care hospital. Medicare will pay the hospital a discounted amount based on the payment rates certified unbefitting the Inpatient Next Payment System ( IPPS ). Medicare will pay physicians separately for their services subservient the Medicare Physician Cost Plan. Hospitals and physicians will be permitted to share gains arising from better organism of care.
Model 2:
The phase of care would encircle the inpatient stay and post - severe care and would end, at the applicants option, either a minimum of 30, or 90 days after perfect; the suite would comprise physicians services, care by a post - extreme provider, agnate re - admissions, and other services proposed in the predicament definition like as clinical laboratory services
Model 3:
The misfortune of care would break ground at enact from the inpatient stay and would end no sooner than 30 days after bring off.
In both Models 2 and 3, the group would build physicians services, care by a post - uttermost provider, parallel readmissions, and other services.
Model 4:
CMS would make a single, prospectively bent on bundled payment to the hospital that would teem with all services furnished during the inpatient stay by the hospital, physicians and other practitioners. Physicians and other practitioners would tender no - pay claims to Medicare and would be paid by the hospital out of the bundled payment.
The final date for registration for model 1 is 21st October 2011; and for rest of the models is 15th March, 2012.
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